Anal Abscesses and Different Methods of its Surgical Management
Journal Title: The Egyptian Journal of Hospital Medicine - Year 2018, Vol 72, Issue 10
Abstract
<strong>Background and Objectives: </strong>in this review wed discuss background of anal abscess and fistula, as well focused on different surgical approaches for dealing with anal abscess, their effectiveness and difficulties after surgery. <strong>Patients and Methods: </strong>We conducted narrative review by searching published literatures in the following databases: MEDLINE/PubMed, and Embase, for all studies concerning with types of Anal abscesses and diagnosis in addition to surgical management approaches “June, 2018”. <strong>Results: </strong>Anorectal abscesses are one of the commonest anorectal problems encountered by surgeons. They are usually cryptoglandular in origin and are associated with an anal fistula in 30% – 70% of cases. When the incriminating gland originates from the posterior midline and traverses the conjoint longitudinal muscle into the deep postanal space, a deep postanal abscess results. Further extension of this infective process into the unilateral or bilateral ischiorectal fossa leads to a horseshoe abscess. This type of abscess accounts for about 15% – 20% of anorectal abscesses and its management remains challenging to surgeons. <strong>Conclusion: </strong>Anorectal abscesses are common anorectal problems, early management is mandatory, almost always require surgical drainage, even if they have spontaneously discharged.
Authors and Affiliations
Eman Helal
Keywords
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- EP ID EP584348
- DOI 10.12816/ejhm.2018.11355
- Views 113
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