Guerra MDA, Ballinas SFA, Guerra MLR, Guerra DCD

Language: Spanish
References: 8
Page: 8-13
PDF size: 219.06 Kb.

ABSTRACT

Anal fistulas are a consequence in most cases of an anal abscess spontaneously drained or surgically drained without having removed the crypt that gave rise to it. In pediatric population there is no difference in etiopathogenesis of fistulas in relation to adults, being considered a cryptoglandular origin in 95% of the cases, and whose treatment is surgical, and the alternatives are determined according to the preoperative classification of the fistula and the relation of the trajectory with the anal sphincters. Being fistulotomy and fistulectomy the most frequent alternatives to solve this pathology. We present a retrospective review from 2011-2021 of files from the southeast Colon and Rectum Clinic, with 13 cases of anal fistulas in children aged from two months to 15 years old, 12 males and one female, intersphincteric trajectories in 12 patients and one case with low suprasphincteric trajectory. Within 13 patients, 10 patients underwent surgical treatment and three did not accept surgical management. The youngest patient was six months old and the oldest was 15 years old. All patients who underwent surgical treatment were managed as ambulatory surgery, with intravenous sedation and local anesthesia, with ventilatory mask support. Fistulotomy in nine cases and fistulectomy in one case all of them discharged without complications. No recurrence at one year follow-up.

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