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2013, Number 4

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Rev Hosp Jua Mex 2013; 80 (4)

Abscesos y fístulas anorrectales

Rodríguez-Wong U

Language: Spanish
References: 14
Page: 243-247
PDF size: 236.42 Kb.


ABSTRACT

Ano-rectal abscess corresponds to an accumulation of purulent material in a region or space close to the anus or rectum and its contents may be drained through a hole in the perianal skin or to the rectal mucosa, and can thus give rise to the formation of a fistula. Most ano-rectal abscesses have cryptoglandular origin (90 to 97%). The main complication of drainage of an ano-rectal abscess is the formation of a fistula, which occurs in 60% of cases. The treatment of ano-rectal fistula is surgical and is determined by the preoperative classification of fistula and its relationship with anal sphincters.


REFERENCES

  1. Rosen L. Anorectal abscess-fistulae. Surg Clin N Am 1994; 74: 1293-308.

  2. Phillips RKS. Anal fistula: evaluation and management. In: Colorrectal Surgery. 2nd ed. London: WB Saunders Company Limited; 2002, p. 299-328.

  3. Nesselrod JP. Pathogenesis of common anorectal infections. Am J Surg 1954;88(5):815-7

  4. Parks AG, Gordon PH Hardcastle JD. A classification of fistulain- ano. Br J Surg 1976; 63: 1-12.

  5. Rizzo JA, Naig AL, Johnson EK. Anorectal abscess and fistulain- ano: Evidence-based management. Surg Clin N Am 2010; 90: 45–68.

  6. Hamadani A, Haigh PI, Liu IL, et al. Who is at risk for developing chronic anal fistula or recurrent anal sepsis after initial perianal abscess? Dis Colon Rectum 2009;52:217–21

  7. Rodríguez-Wong U. Enfermedades anorrectales. En: Campos SF. Gutiérrez-Arrubarena Fisiopatología Quirúrgica del Aparato Digestivo. 4a. Ed. El Manual Moderno; 2012, p. 529-40.

  8. Kronborg O. To lay open or excise a fistula-in-ano: a randomized trial. Br J Surg 1985; 72: 970.

  9. Hammond TM, Grahn MF, Lunniss PJ. Fibrin glue in the management of anal fistulae. Colorectal Dis 2004; 6: 308-19.

  10. Robb BW, Vogler SA, Nussbaum MN, et al. Early experience using porcine small intestinal submucosa to repair fistulas-inano. Dis Colon Rectum 2004; 47: 565–60.

  11. Sonoda T, Hull T, Piedmonte MR, et al. Outcomes of primary repair of anorectal and rectovaginal fistulae using endorectal advancement flap. Dis Colon Rectum 2002;45:1622-8.

  12. Rodríguez Wong U. Uso del sedal en el tratamiento de las fístulas anales. Rev Hosp Jua Mex 1998; 65(4):99-101

  13. Garcia-Aguilar J, Belmonte C, Wong WD, et al. Cutting seton versus two-satage seton fistulotomy in the surgical management of high anal fistula. Br J Surg 1998; 85: 243-245.

  14. Astiz JM, Beraudo M ,Tinghitella G, Chiurco L, Kushinacayó M. Abscesos y fístulas anorrectales. Rev Argent Cirug 2007; 92 (3-4): 146-54.




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