ABSCESSO PERIANAL PDF

Perianal abscess refers to a formed infective-inflammatory collection within the perianal region. It forms part of the broader group of anorectal abscesses. Infection and anal gland drainage obstruction from the perianal fistula may lead to an acute perianal abscess. While some abscesses may resolve spontaneously via internal drainage into the anal canal, others may require surgical incision and drainage. Please Note: You can also scroll through stacks with your mouse wheel or the keyboard arrow keys.

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The journal aims to publish articles that may contribute to the improvement and the development of the practice, research, and teaching of coloproctology and related specialities. CiteScore measures average citations received per document published.

Read more. SRJ is a prestige metric based on the idea that not all citations are the same. SJR uses a similar algorithm as the Google page rank; it provides a quantitative and qualitative measure of the journal's impact. SNIP measures contextual citation impact by wighting citations based on the total number of citations in a subject field. Although perianal or anorectal abscess is an entity of relatively simple diagnosis and treatment, in a considerable percentage of patients difficulties will be found, especially considering that the initial treatment of these patients is performed by non-specialist physicians..

This is a retrospective survey of cases of perianal and anorectal abscess operated in Santa Marcelina Hospital between October and December Data of gender, age, clinical presentation, the season of the year in which the abscess occurred, time of progression of symptoms, comorbidities, signs of Systemic Inflammatory Response Syndrome SIRS on admission, surgeries carried out, reoperations and clinical outcome were analyzed..

Electronic medical records of 52 patients The mean overall age was As for the season of the year of onset and diagnosis of perianal abscess, In our study, it can be observed a higher incidence of perianal abscess in males and in the warmer months; furthermore, just over half of the patients developed perianal fistula in their progression..

Levantamento retrospectivo dos casos de abscesso perianal e anorretal operados no Hospital Santa Marcelina entre outubro de e dezembro de Perianal abscess is defined as a collection of pus located in perineal tissues 1 and is the most common proctologic disease requiring an emergency surgical treatment. But although most of the time perianal or anorectal abscesses are an entity of relatively simple diagnosis and treatment, in a considerable percentage of patients, difficulties will be found, especially considering that the initial treatment of these patients is performed by non-specialist physicians.

However, the actual incidence of perianal abscesses is underestimated, considering that this is a condition that nowadays can be seen with spontaneous drainage; in addition, there is the possibility of treatment in the emergency room itself, or even in the physician's office. In this study, our goal was to conduct a retrospective study of cases of perianal and anorectal abscess operated in Santa Marcelina Hospital between October and December Gender, age, clinical presentation, the season of the year in which the abscess occurred, time of progression of symptoms, comorbidities, signs of Systemic Inflammatory Response Syndrome SIRS on admission, surgeries carried out, reoperations, and clinical outcomes were analyzed.

With regard to complaints, all patients reported pain as a symptom, 23 patients The mean time of progression of symptoms was 6. Half of the patients had no comorbidities, As for signs of SIRS on admission, this was found in only 3 patients 5. Symptomatology of patients with perianal and anorectal abscess. As for the season of the year in the onset and diagnosis of perianal abscess, In 47 patients In the remaining 5 patients 9.

In only one patient, excluding the case of necrotizing fasciitis, a reoperation was required within the first 10 days after the initial surgery. The mean hospitalization time was 1. Twenty-nine patients Thirteen of 23 remaining patients As the terminal portion of the rectum goes through the pelvic floor muscles, becoming the anal canal, creases known as columns of Morgagni, are formed; in these creases, anal crypts are located at their lower end.

Abcarian et al. These authors also report that most patients with anorectal suppuration are aged between 20 and 60 years, with a mean of 40 years. Furthermore, studies have reported an incidence twice as high in men, reaching up to Clinically, this disease is manifested by a constant and progressive acute pain that may worsen with defecation, 5 besides showing an association with signs of Systemic Inflammatory Response Syndrome SIRS.

In cases of perianal abscess, one can find a local hyperemia and pain with floating and cellulitis in its periphery. Sometimes, and in situations of deeper abscesses, these signals are more difficult to be found, and the physician should value digital rectal examination and complementary investigation, either by CT, pelvic MRI, or endoanal ultrasound. Czeiger et al. One hundred and eighty-eight patients In this study, it was found that only two patients 3.

In this respect, Akkapulu et al. These authors found that there was no statistically significant correlation with respect to gender, age, type of abscess, use of a drain, and fistula identification in the first surgery. Although some studies have not observed an occurrence of predisposition with seasonality or certain months, 9 Vasilevsky and Gordon 12 reported a higher prevalence in June summer in their countries and a lower incidence in August and September. We observed that there was a higher incidence of diagnoses of perianal abscess in the summer and spring months Considering that in most cases of anorectal abscess the patients are seen and operated on an emergency basis, Jimeno et al.

For this purpose, these authors divided the group between surgeons and physicians with clinical specialties, involving a total of 44 participants.

Regarding the treatment of perianal abscess, it is recommended to make an incision and drainage with debridement of necrotic and devitalized tissue. The search for a fistula and a possible internal orifice of the fistula is an important part of the procedure that should be performed by a thorough proctologic examination with digital rectal examination and anoscopy.

The literature recommends that in cases of inter-sphincteric or low transphincteric fistulas, one can make a fistulotomy; and in cases of doubt or of complex fistulas, one must introduce a Seton. On the other hand, considering that the perianal abscess drainage surgery is usually performed by general surgeons in some cases not very familiar with anorectal anatomy , and also considering the local septic process with loss of normal architecture, we believe that the making of a large abscess drainage at the nearest possible point from the anal margin and parallel to the fibers of the external anal sphincter muscle, 5 along with debridement of devitalized tissue and the introduction of a Seton in cases of identification of an internal fistulous orifice would be the most prudent strategy.

With respect to the implementation and application or non-application of a latex drain to the abscess cavity, Billingham et al. On the other hand, one should recommend a post-operative procedure with the use of antibiotics in patients with diabetes, morbid obesity, immune deficiency, in cardiac prosthesis users, or in cases of extensive cellulitis.

Our study corroborates literature data on the prevalence of gender and prevalence period, drawing attention to the seriousness that some cases may represent in the event of progression to necrotizing fasciitis and the need to fine-tune the initial treatment, respecting the degree of knowledge and expertise of the attending physician, in order to avoid serious and permanent sequels of such a common pathology in emergency rooms.

The authors declare no conflicts of interest. Journal of Coloproctology. ISSN: Open Access Option. Previous article Next article. Issue 3. Pages July - September Download PDF. Corresponding author. This item has received. Under a Creative Commons license. Article information. Table 1. Symptomatology of patients with perianal and anorectal abscess.. Although perianal or anorectal abscess is an entity of relatively simple diagnosis and treatment, in a considerable percentage of patients difficulties will be found, especially considering that the initial treatment of these patients is performed by non-specialist physicians.

Objective This is a retrospective survey of cases of perianal and anorectal abscess operated in Santa Marcelina Hospital between October and December Data of gender, age, clinical presentation, the season of the year in which the abscess occurred, time of progression of symptoms, comorbidities, signs of Systemic Inflammatory Response Syndrome SIRS on admission, surgeries carried out, reoperations and clinical outcome were analyzed.

Results Electronic medical records of 52 patients Conclusion In our study, it can be observed a higher incidence of perianal abscess in males and in the warmer months; furthermore, just over half of the patients developed perianal fistula in their progression. Perianal abscess. Objetivo Levantamento retrospectivo dos casos de abscesso perianal e anorretal operados no Hospital Santa Marcelina entre outubro de e dezembro de Abscesso perianal.

Introduction Perianal abscess is defined as a collection of pus located in perineal tissues 1 and is the most common proctologic disease requiring an emergency surgical treatment. Czeiger, G. Shaked, I. Igov, I. Pinsk, J. Peiser, G. High occurrence of perianal abscess among Bedouin compared to Jews in the southern region of Israel. BMC Surg, 13 , pp. Fielding, A. Management of perianal sepsis in a district general hospital. J R Coll Surg Edinb, 37 , pp.

Whiteford, J. Kilkenny 3rd. Hyman, W. Buie, J. Cohen, C. Orsay, et al. Practice parameters for the treatment of perianal abscess and fistula-in-ano revised. Dis Colon Rectum, 48 , pp. Dere, G. Zaim, H. Soy, T. A retrospective analysis of 93 cases with anorectal abscess in a rural state hospital.

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Anal/Rectal Abscess

Surgical treatment of anorectal complications in Crohn's disease. Perirectal abscess. Ann Emerg Med. Severe systemic sepsis resulting from neglected perineal infections. South Med J. Perirectal inflammatory disease: CT findings. MRI for evaluation of perianal inflammation.

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Abscesso anorretal

The journal aims to publish articles that may contribute to the improvement and the development of the practice, research, and teaching of coloproctology and related specialities. CiteScore measures average citations received per document published. Read more. SRJ is a prestige metric based on the idea that not all citations are the same. SJR uses a similar algorithm as the Google page rank; it provides a quantitative and qualitative measure of the journal's impact.

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