The Optimal Primary Treatment for Pediatric Perianal Abscess and Anal Fistula: A Systemic Review and Meta-Analysis

Perianal abscesses and anal fistulas are common. The principle of intention-to-treat has not been considered in previous systemic reviews. Thus, the comparison between primary and post-recurrence management was confused, and the recommendation of primary treatment is obscure. The current study aims...

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Bibliographic Details
Published in:Journal of pediatric surgery 2023-07, Vol.58 (7), p.1274-1280
Main Authors: Lin, Chih-An, Chou, Chia-Man, Huang, Sheng-Yang, Chen, Hou-Chuan
Format: Article
Language:English
Subjects:
Anal fistula
Pediatric
Perianal abscess
Primary management
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Summary:Perianal abscesses and anal fistulas are common. The principle of intention-to-treat has not been considered in previous systemic reviews. Thus, the comparison between primary and post-recurrence management was confused, and the recommendation of primary treatment is obscure. The current study aims to identify the optimal initial treatment for pediatric patients. Using PRISMA guidelines, studies were identified from MEDLINE, EMBASE, PubMed, Cochrane Library, and Google Scholar without any language or study design restriction. The inclusion criteria include original articles or articles with original data, studies of management for a perianal abscess with or without anal fistula, and patient age of
ISSN:0022-3468
1531-5037
DOI:10.1016/j.jpedsurg.2023.01.055