Evaluation and management of perianal abscess and anal fistula: SICCR position statement: Techniques in Coloproctology

A. Amato, C. Bottini, P. De Nardi, P. Giamundo, A. Lauretta, A. Realis Luc, V. Piloni

Research output: Contribution to journalArticlepeer-review

Abstract

Perianal sepsis is a common condition ranging from acute abscess to chronic anal fistula. In most cases, the source is considered to be a non-specific cryptoglandular infection starting from the intersphincteric space. Surgery is the main treatment and several procedures have been developed, but the risks of recurrence and of impairment of continence still seem to be an unresolved issue. This statement reviews the pertinent literature and provides evidence-based recommendations to improve individualized management of patients. © 2020, Springer Nature Switzerland AG.
Original languageEnglish
Pages (from-to)127-143
Number of pages17
JournalTech. Coloproctol.
Volume24
Issue number2
DOIs
Publication statusPublished - 2020

Keywords

  • Abscess
  • Advancement flap
  • Anal
  • Biomaterial
  • Fibrin glue
  • Fistula
  • Fistula-in-ano
  • Horseshoe extension
  • Implant
  • LIFT
  • Perianal
  • Plug
  • Seton
  • Transsphincteric fistula
  • VAAFT
  • ciprofloxacin
  • fibrin glue
  • metronidazole
  • abscess drainage
  • adipose derived stem cell
  • anus fistula
  • anus sphincter
  • anus surgery
  • Article
  • cauterization
  • clinical decision making
  • clinical feature
  • diathermy
  • echography
  • fistulography
  • healing
  • human
  • manometry
  • medical history
  • nuclear magnetic resonance imaging
  • perianal abscess
  • physical examination
  • practice guideline
  • radiofrequency
  • surgical debridement
  • surgical technique
  • systematic review
  • three-dimensional imaging
  • tissue flap

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