scholarly journals Recurrent perianal abscess in a infant

2018 ◽  
Vol 19 (3) ◽  
pp. 167-170
Author(s):  
Vladimír Mihál ◽  
Tomáš Malý ◽  
Kamila Michálková
Keyword(s):  
Perianal Abscess

Crohn's Anal Fistula and Perianal Abscess: Results of Surgical Treatment

2007 ◽  
Vol 23 (6) ◽  
pp. 424 ◽  
Author(s):  
In Seob Lee ◽  
Eun Kyung Choe ◽  
Sung Chan Park ◽  
Kyu Joo Park
Keyword(s):  
Surgical Treatment ◽  
Anal Fistula ◽  
Perianal Abscess

Clinical Features and Recurrence Pattern of Perianal Abscess in Patients with Acute Myeloid Leukemia

2017 ◽  
Vol 138 (1) ◽  
pp. 10-13 ◽  
Author(s):  
Hung Chang ◽  
Ming-Chung Kuo ◽  
Tzung-Chih Tang ◽  
Tung-Liang Lin ◽  
Jin-Hou Wu ◽  
...  
Keyword(s):  
Acute Myeloid Leukemia ◽  
Stem Cell ◽  
Gastrointestinal Tract ◽  
Stem Cell Transplantation ◽  
Myeloid Leukemia ◽  
Perianal Abscess ◽  
Standard Of Care ◽  
Recurrence Pattern ◽  
Surgical Interventions ◽  
Acute Myeloid

Introduction: Perianal abscess may develop during neutropenia periods in patients with acute myeloid leukemia (AML). The standard of care for perianal abscess in AML is unclear. Methods: We retrospectively collected patient data in our institute from 2009 to 2012. Results: Two hundred ninety-two patients with AML were analyzed. In total, 1,051 chemotherapy sessions were administered. Twenty-three patients experienced perianal abscess. Patients with perianal abscess were younger than those without (44 vs. 60 years, p < 0.0001). Perianal abscess developed in various phases of treatment and in the stem cell transplantation period. Twelve recurrences developed in 6 patients. Patients with a prior perianal abscess have a 10-fold risk of developing a subsequent abscess following further chemotherapy. The microbiology profile revealed that most pathogens were derived from the intestinal tracts, which was similar to the findings of previous studies. The 28-day mortality was 14.3% and the direct cause of death was not perianal abscess in any case. Surgical interventions had no impact on recurrence or survival. Conclusion: In patients with AML, perianal abscess results from gastrointestinal tract pathogens. Many patients do not require surgical interventions. The mortality is low but recurrence is common following subsequent chemotherapies. Therefore, awareness of recurrence is important for the timely management of perianal abscess in AML.

scholarly journals P129 The utility of routine operative swab culture in uncomplicated peri-anal abscesses

BJS Open ◽  
2021 ◽  
Vol 5 (Supplement_1) ◽  
Author(s):  
Apoorva Khajuria ◽  
Tuba Rahim ◽  
Mariam Baig ◽  
Kai Leong ◽  
Apoorva Khajuria
Keyword(s):  
Inflammatory Bowel Disease ◽  
Perianal Abscess ◽  
Female Ratio ◽  
Incision And Drainage ◽  
Common Presentation ◽  
History Of ◽  
Inflammatory Bowel ◽  
Operative Findings ◽  
The Cost ◽  
Male To Female

Abstract Introduction Despite perianal abscess being a common presentation, certain aspects of its management remain controversial, especially the routine use of intra-operative swab cultures. Methods A retrospective review of patients that underwent incision and drainage procedures for a perianal abscess over a six-month period was undertaken. Results Over 6 months, 50 patients were identified. The male to female ratio was 3:1 and median ASA score was 1. Only 6/50 patients presented with recurrent abscess and 1 patient had history of inflammatory bowel disease. On the basis of operative findings, 39 patients (78%) had uncomplicated abscess (not associated with cellulitis, sinus or fistula); swab cultures were performed in 26 (67%) of these patients. All patients were discharged on the same day; microbiology reports did not impact the treatment and no patients were followed up in clinic post-operatively or presented with recurrence. The number of unnecessary microbiology swabs undertaken in this cohort equates to approximately 52 unnecessary swabs a year. The cost of one swab is £10.10p, which means £520 could potentially be saved annually. Conclusion Routine intra-operative swab cultures do not impact management decisions, add to unnecessary costs and therefore should not be undertaken in uncomplicated or first presentation of peri-anal abscesses.

Benign lipoblastomatosis of the perineum presenting as a perianal abscess in an infant

1995 ◽  
Vol 10 (5-6) ◽  
Author(s):  
G. Shoshany ◽  
Y. Ben-Arieh ◽  
L. Hayari ◽  
A. Assalia
Keyword(s):  
Perianal Abscess

Re: Rapid progression of perianal abscess into Fournier's gangrene

2015 ◽  
Vol 85 (3) ◽  
pp. 198-198
Author(s):  
Duncan R. Bayne ◽  
Dariush Nikkhah
Keyword(s):  
Perianal Abscess ◽  
Fournier’S Gangrene ◽  
Rapid Progression ◽  
Fournier's Gangrene

Management of perianal abscess with hainosankyuto in neonates and young infants

2011 ◽  
Vol 53 (6) ◽  
pp. 892-896 ◽  
Author(s):  
Hisayoshi Kawahara ◽  
Hiroshi Nakai ◽  
Akihiro Yoneda ◽  
Akio Kubota
Keyword(s):  
Perianal Abscess ◽  
Young Infants

scholarly journals A Survey of Competency-Based Training of Senior House Officers in Performing Minor Surgical Procedures

2006 ◽  
Vol 88 (6) ◽  
pp. 576-578 ◽  
Author(s):  
Samuel CL Leong ◽  
Alison J Waghorn
Keyword(s):  
Surgical Procedures ◽  
Surgical Procedure ◽  
Perianal Abscess ◽  
Incision And Drainage ◽  
Minor Surgical Procedures ◽  
Surgical Trainees ◽  
Competency Based ◽  
A Minor ◽  
Second Procedure ◽  
And Training

INTRODUCTION The aim of this survey was to ascertain the level of competency and training of basic surgical trainees (SHOs) in performing incision and drainage of a perianal abscess (a minor surgical procedure). MATERIALS AND METHODS Questionnaires were sent to SHOs enquiring about preferred methods of incision and drainage and the teaching received to perform this procedure. RESULTS Of respondent SHOs, 10% did not receive teaching when performing their first incision and drainage and over half did not received any feedback from their trainers. A mere 65% received practical supervision. Use of the curette and de-roofing of the abscess are not routine methods used. In addition, 13% reported inadequate incision and drainage, which required a second procedure. CONCLUSIONS Competency-based training in minor surgical procedures benefits not only from didactic teaching, immediate supervision and appraisal but also from frequent practise. This was found to be lacking for incision and drainage of perianal abscesses by basic surgical trainees surveyed in the study.

scholarly journals Efficacy of conservative treatment of perianal abscesses in children and predictors for therapeutic failure

2020 ◽  
Vol 63 (7) ◽  
pp. 272-277 ◽  
Author(s):  
Lars Boenicke ◽  
Johannes Doerner ◽  
Stefan Wirth ◽  
Hubert Zirngibl ◽  
Mike Ralf Langenbach
Keyword(s):  
Conservative Treatment ◽  
Univariate Analysis ◽  
Perianal Abscess ◽  
White Blood Count ◽  
Older Children ◽  
Therapy Failure ◽  
Conservative Group ◽  
Reactive Protein ◽  
Primary Surgery ◽  
Surgery Group

Background: The optimal management of perianal abscess in children is controversial.Purpose: To evaluate the efficiency of conservative treatment of perianal abscess in children and identify parameters that predict therapy failure.Methods: All cases of children younger than 14 years of age with perianal abscesses between 2001–2016 were evaluated.Results: Of the 113 enrolled patients, 64 underwent subsequent surgery for advanced disease (primary surgery group). Conservative treatment was initiated in 49 patients (primary conservative group) but was stopped because of inefficiency in 25 patients, who were referred for surgery after a median 7.03 days (range, 2 to 16 days). The other 24 patients (48%) initially achieved complete remission after conservative treatment, but 10 were readmitted after a median 34 months (range, 3 to 145 months) with recurrent disease. There were no significant differences in permanent success after conservative treatment between infants (10 of 29, 34%) and older children (4 of 20 [20%], <i>P</i>=0.122). Overall, conservative treatment alone was effective in only 14 of 113 patients. Recurrence after surgery occurred in 16 patients (25%) in the primary surgery group and 11 patients (22%) in the primary conservative group (<i>P</i>=0.75). Univariate analysis of predictors for conservative treatment failure revealed inflammatory values (C-reactive protein and white blood count, <i>P</i>=0.017) and abscess size (<i>P</i>=0.001) as significant parameters, whereas multivariate analysis demonstrated that only abscess size (odds ratio, 3.37; <i>P</i>=0.023) was significant.Conclusion: Conservative treatment of perianal abscess is permanently efficient in only a minority of children but is not associated with a higher recurrence rate after subsequent surgery. Abscess size is a predictor for therapy failure.

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