Villalba AJ, Rodas JH

Language: Spanish
References: 17
Page: 106-109
PDF size: 42.03 Kb.

ABSTRACT

Introduction: The anal abscess and the fistula are considered evolutionary stages of the same illness. In this work the evolution of the abscesses is revised. They are treated with a simple drainage to determine if they develop fistula. Patient and methods: An observational and retrospective study of 147 cases of anal abscesses in a 15 year period (March 89 to February 2004). The patients were treated with simple drainage and local anesthesia. The follow-up average was 4.5 years. Results: 92 cases were superficial abscesses, 35 isquioanals and 20 intersphincterians. All patients subjected to drainage to solve the abscess had recurrence and developed fistula 135 patients (91.8%), of which 84.3% were presented before the 2 years. Twelve patients did not suffer another abscess with a follow-up of 1 and 15 years. The fistula developed from these abscesses were treated in one or two stages. Among these operated, 2 recurrences of fistula occurred (1.5%), and 14 patients presented minor continence disturbances (10.3%). Conclusions: Most of the abscesses develop anal fistula before 2 years after the first crisis. The fistula variety corresponds to the localization of the abscesses.

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