Identification of the internal anal opening and seton placement improves the outcome of deep postanal space abscess

Aim This study aimed to determine if successful seton placement at the initial drainage procedure improves outcomes in the management of deep postanal space abscesses. Method A retrospective review was performed of all patients who underwent initial drainage of a DPA space abscess between December 2...

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Bibliographic Details
Published in:Colorectal disease 2013-05, Vol.15 (5), p.598-601
Main Authors: Tan, K.-K., Liu, X., Tsang, C. B., Koh, D. C.
Format: Article
Language:English
Subjects:
abscess
Abscess - surgery
Adult
Anal Canal - pathology
Anal Canal - surgery
Deep postanal space
Drainage - methods
Female
Humans
internal opening
Male
Middle Aged
Reoperation
Retrospective Studies
seton
Sutures
treatment outcome
Young Adult
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Summary:Aim This study aimed to determine if successful seton placement at the initial drainage procedure improves outcomes in the management of deep postanal space abscesses. Method A retrospective review was performed of all patients who underwent initial drainage of a DPA space abscess between December 2002 and August 2010. A seton was placed through the internal opening if it could be identified. Results Thirty‐two patients of median age 41 (21–64) years formed the study group. Twenty‐four (75.0%) had a seton inserted at the initial drainage procedure. The patients underwent a total of 56 operations. The median interval from the initial to the final operation was 5 (2–18) months with 17 (70.8%) patients having the final operation within 6 months. In the 8 (25.0%) patients whose internal opening could not be found, 26 operations were required with a median interval from the initial to the final surgery of 11 (3–24) months. Patients who had a seton successfully inserted at drainage underwent significantly earlier definitive surgery and required fewer operations (P 
ISSN:1462-8910
1463-1318
DOI:10.1111/codi.12076