PMID- 22379401
OWN - NLM
STAT- PubMed-not-MEDLINE
DCOM- 20120823
LR  - 20220317
IS  - 1530-9681 (Electronic)
IS  - 1531-0043 (Print)
IS  - 1530-9681 (Linking)
VI  - 24
IP  - 1
DP  - 2011 Mar
TI  - Anorectal infection: abscess-fistula.
PG  - 14-21
LID - 10.1055/s-0031-1272819 [doi]
AB  - Anorectal abscess and fistula are among the most common diseases encountered in 
      adults. Abscess and fistula should be considered the acute and chronic phase of 
      the same anorectal infection. Abscesses are thought to begin as an infection in 
      the anal glands spreading into adjacent spaces and resulting in fistulas in ~40% 
      of cases. The treatment of an anorectal abscess is early, adequate, dependent 
      drainage. The treatment of a fistula, although surgical in all cases, is more 
      complex due to the possibility of fecal incontinence as a result of 
      sphincterotomy. Primary fistulotomy and cutting setons have the same incidence of 
      fecal incontinence depending on the complexity of the fistula. So even though the 
      aim of a surgical procedure is to cure a fistula, conservative management short 
      of major sphincterotomy is warranted to preserve fecal incontinence. However, 
      trading radical surgery for conservative (nonsphincter cutting) procedures such 
      as a draining seton, fibrin sealant, anal fistula plug, endorectal advancement 
      flap, dermal island flap, anoplasty, and LIFT (ligation of intersphincteric 
      fistula tract) procedure all result in more recurrence/persistence requiring 
      repeated operations in many cases. A surgeon dealing with fistulas on a regular 
      basis must tailor various operations to the needs of the patient depending on the 
      complexity of the fistula encountered.
FAU - Abcarian, Herand
AU  - Abcarian H
LA  - eng
PT  - Journal Article
PL  - United States
TA  - Clin Colon Rectal Surg
JT  - Clinics in colon and rectal surgery
JID - 101084157
PMC - PMC3140329
OTO - NOTNLM
OT  - Fistula
OT  - abscess
OT  - anorectal infection
OT  - fecal incontinence
OT  - sphincterotomy
EDAT- 2012/03/02 06:00
MHDA- 2012/03/02 06:01
PMCR- 2012/03/01
CRDT- 2012/03/02 06:00
PHST- 2012/03/02 06:00 [entrez]
PHST- 2012/03/02 06:00 [pubmed]
PHST- 2012/03/02 06:01 [medline]
PHST- 2012/03/01 00:00 [pmc-release]
AID - 10.1055/s-0031-1272819 [doi]
PST - ppublish
SO  - Clin Colon Rectal Surg. 2011 Mar;24(1):14-21. doi: 10.1055/s-0031-1272819.