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BioMed Research International
Volume 2016, Article ID 9712854, 6 pages
http://dx.doi.org/10.1155/2016/9712854
Clinical Study

Outcomes of Various Interventions for First-Time Perianal Abscesses in Children

1Faculty of Medicine, Institution of Clinical Science, Lund University, 221 85 Lund, Sweden
2Institution of Clinical Science, Lund University, Department of Pediatric Surgery, Skåne University Hospital, 221 85 Lund, Sweden

Received 29 October 2015; Revised 16 December 2015; Accepted 17 December 2015

Academic Editor: Hannes Gruber

Copyright © 2016 Alexander Juth Karlsson et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Introduction. In children treated surgically for first-time perianal abscesses, discovery and excision of concomitant fistulas may also be warranted. Aim. To evaluate children of varying age after incision and drainage of first-time perianal abscesses, examining recurrences rates with and without search for a fistula. Method. A retrospective review was conducted, analyzing children (ages 0–15 years) treated for first-time perianal abscesses at a tertiary pediatric surgical center, with a minimum follow-up of 6 months. Results. A total of 104 patients subjected to 112 treatments for first-time perianal abscesses were eligible. Surgical procedures constituted 84 (75%) of treatments, searching for fistulas in 49 (58%). In 34 (69%), fistulas were confirmed and treated. In the surgically treated subset, the recurrence rate was higher if no attempt was made to exclude a fistula (46%), as opposed to confirmed absence of a fistula (27%) or concurrent fistulotomy (9%; ). Younger patients showed a higher recurrence rate (12/26; 46%), compared with older counterparts (11/58; 19%) (). Conclusion. In children surgically treated for first-time perianal abscess, recurrence rates appear to be lowered by locating and treating coexisting fistulas.