Palmieri NP, Gavosto S, Pigatto J, Serra F

Language: Spanish
References: 6
Page: 9-12
PDF size: 34.5 Kb.

ABSTRACT

History: The perianal abscesses and fistulas represent one of the most frequent coloproctological pathologies. The experience of our hospital is retrospectively analyzed in order to show the pathology incidence and to evaluate the results. Method: 194 abscesses and fistulas interventions were analyzed between January 2000 and March 2007. 150 abscesses and 44 fistulas were treated. The immunosuppressant conditions, surgical history and utilization of complementary methods were taken into account. Procedures: Abscesses: simple drainages and drainage plus fistulotomy. Fistulas: fistulotomy with seton, partial fistulotomy plus fistulotomy with seton and fistulotomy plus mucosal descent. Results: Except in 3 of them, etiology was unspecific in every patient. From the 150 patients that were intervened for abscesses, 120 underwent simple drainage and 30 drainage plus fistulotomy. 24 recidivated. From the 44 fistulas cases, 6 were complex. Treatment: fistulotomy with seton (30), fistulectomy (8), partial fistulectomy plus fistulotomy with seton (10), fistulectomy plus mucosal descent (2). 50% presented perianal abscess history. Conclusions: In abscesses, simple drainage and primary fistulotomy showed low index of fistulas formation. 50% of the treated patients for perianal fistula had abscess history. On fistulas, the preferred treatment was the fistulotomy with low recidivism rate.

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