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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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| Published in: | Colorectal disease 2013-05, Vol.15 (5), p.598-601 |
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| Main Authors: | , , , |
| Format: | Article |
| Language: | English |
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| cited_by | cdi_FETCH-LOGICAL-c3936-9fd6796c410bee9f8280074b80ae09a8d885609d227191a5b269ca8649f3b9373 |
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| cites | cdi_FETCH-LOGICAL-c3936-9fd6796c410bee9f8280074b80ae09a8d885609d227191a5b269ca8649f3b9373 |
| container_end_page | 601 |
| container_issue | 5 |
| container_start_page | 598 |
| container_title | Colorectal disease |
| container_volume | 15 |
| creator | Tan, K.-K. Liu, X. Tsang, C. B. Koh, D. C. |
| description | 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 |
| doi_str_mv | 10.1111/codi.12076 |
| format | article |
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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 < 0.038).
Conclusion
Identification of an internal opening with placement of a seton at the initial drainage procedure is associated with earlier definitive surgery and fewer operations.</description><identifier>ISSN: 1462-8910</identifier><identifier>EISSN: 1463-1318</identifier><identifier>DOI: 10.1111/codi.12076</identifier><identifier>PMID: 23107468</identifier><language>eng</language><publisher>England: Blackwell Publishing Ltd</publisher><subject>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</subject><ispartof>Colorectal disease, 2013-05, Vol.15 (5), p.598-601</ispartof><rights>2012 The Authors. Colorectal Disease © 2012 The Association of Coloproctology of Great Britain and Ireland</rights><rights>2012 The Authors. Colorectal Disease © 2012 The Association of Coloproctology of Great Britain and Ireland.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3936-9fd6796c410bee9f8280074b80ae09a8d885609d227191a5b269ca8649f3b9373</citedby><cites>FETCH-LOGICAL-c3936-9fd6796c410bee9f8280074b80ae09a8d885609d227191a5b269ca8649f3b9373</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23107468$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Tan, K.-K.</creatorcontrib><creatorcontrib>Liu, X.</creatorcontrib><creatorcontrib>Tsang, C. B.</creatorcontrib><creatorcontrib>Koh, D. C.</creatorcontrib><title>Identification of the internal anal opening and seton placement improves the outcome of deep postanal space abscess</title><title>Colorectal disease</title><addtitle>Colorectal Dis</addtitle><description>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 < 0.038).
Conclusion
Identification of an internal opening with placement of a seton at the initial drainage procedure is associated with earlier definitive surgery and fewer operations.</description><subject>abscess</subject><subject>Abscess - surgery</subject><subject>Adult</subject><subject>Anal Canal - pathology</subject><subject>Anal Canal - surgery</subject><subject>Deep postanal space</subject><subject>Drainage - methods</subject><subject>Female</subject><subject>Humans</subject><subject>internal opening</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Reoperation</subject><subject>Retrospective Studies</subject><subject>seton</subject><subject>Sutures</subject><subject>treatment outcome</subject><subject>Young Adult</subject><issn>1462-8910</issn><issn>1463-1318</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><recordid>eNp9kMtKxDAUhoMo3jc-gHQpQjVpOrksZbwNiiPiDTchTU812ja1yajz9mZm1KVZJCfw_R-HH6Edgg9IPIfGlfaAZJizJbROckZTQolYns9ZKiTBa2jD-1eMCeNErKK1jBLMcybWkR-V0AZbWaODdW3iqiS8QGLbAH2r60TPLtdBa9vn-CkTDyFiXa0NNDGZ2Kbr3Qf4ecxNgnENzCwlQJd0zoe5wXeRT3ThDXi_hVYqXXvY_nk30d3pye3wPL0cn42GR5epoZKyVFYl45KZnOACQFYiEzhuXQisAUstSiEGDMsyyziRRA-KjEmjBctlRQtJOd1Eewtv3PB9Aj6oxsYF6lq34CZeEZqzAZeYyYjuL1DTO-97qFTX20b3U0WwmpWsZiWreckR3v3xTooGyj_0t9UIkAXwaWuY_qNSw_Hx6FeaLjLWB_j6y-j-TTFO-UA9XJ2p-4vrc_l086gu6DcaVZcy</recordid><startdate>201305</startdate><enddate>201305</enddate><creator>Tan, K.-K.</creator><creator>Liu, X.</creator><creator>Tsang, C. B.</creator><creator>Koh, D. C.</creator><general>Blackwell Publishing Ltd</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201305</creationdate><title>Identification of the internal anal opening and seton placement improves the outcome of deep postanal space abscess</title><author>Tan, K.-K. ; Liu, X. ; Tsang, C. B. ; Koh, D. C.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3936-9fd6796c410bee9f8280074b80ae09a8d885609d227191a5b269ca8649f3b9373</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>abscess</topic><topic>Abscess - surgery</topic><topic>Adult</topic><topic>Anal Canal - pathology</topic><topic>Anal Canal - surgery</topic><topic>Deep postanal space</topic><topic>Drainage - methods</topic><topic>Female</topic><topic>Humans</topic><topic>internal opening</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Reoperation</topic><topic>Retrospective Studies</topic><topic>seton</topic><topic>Sutures</topic><topic>treatment outcome</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Tan, K.-K.</creatorcontrib><creatorcontrib>Liu, X.</creatorcontrib><creatorcontrib>Tsang, C. B.</creatorcontrib><creatorcontrib>Koh, D. C.</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Colorectal disease</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Tan, K.-K.</au><au>Liu, X.</au><au>Tsang, C. B.</au><au>Koh, D. C.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Identification of the internal anal opening and seton placement improves the outcome of deep postanal space abscess</atitle><jtitle>Colorectal disease</jtitle><addtitle>Colorectal Dis</addtitle><date>2013-05</date><risdate>2013</risdate><volume>15</volume><issue>5</issue><spage>598</spage><epage>601</epage><pages>598-601</pages><issn>1462-8910</issn><eissn>1463-1318</eissn><abstract>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 < 0.038).
Conclusion
Identification of an internal opening with placement of a seton at the initial drainage procedure is associated with earlier definitive surgery and fewer operations.</abstract><cop>England</cop><pub>Blackwell Publishing Ltd</pub><pmid>23107468</pmid><doi>10.1111/codi.12076</doi><tpages>4</tpages></addata></record> |
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| identifier | ISSN: 1462-8910 |
| ispartof | Colorectal disease, 2013-05, Vol.15 (5), p.598-601 |
| issn | 1462-8910 1463-1318 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_1346579069 |
| source | Wiley-Blackwell Read & Publish Collection |
| 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 |
| title | Identification of the internal anal opening and seton placement improves the outcome of deep postanal space abscess |
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