A Randomized Trial of Fistulotomy in Perianal Abscess
- 1 January 1987
- journal article
- research article
- Published by Taylor & Francis in Scandinavian Journal of Gastroenterology
- Vol. 22 (2) , 174-176
- https://doi.org/10.3109/00365528708991876
Abstract
In a randomized trial we compared the treatment of perianal abscess by incision only (18 patients) with that by incision followed by fistulotomy 3 days later (20 patients). All patients were observed for 12 months. There were no differences between the two groups with regard to recurrent abscess/fistula, bu the fistulotomy group had a statistically significantly higher prevalence of flatus incontinence. Further, fistulotomy was followed by signficantly longer duration of hospitalization and by delayed healing. We recommend that fistulotomy is used only in patients with recurrent abscess.This publication has 7 references indexed in Scilit:
- Applying results of randomised trials to clinical practice: impact of losses before randomisation.BMJ, 1984
- Perianal abscesses and fistulasDiseases of the Colon & Rectum, 1984
- The incidence of recurrent abscesses or fistula-in-ano following anorectal suppurationDiseases of the Colon & Rectum, 1984
- THE ROLE OF SETON IN FISTULOTOMY OF THE ANUS1983
- A prospective survey of 474 patients with anorectal abscessDiseases of the Colon & Rectum, 1979
- A controlled study comparing the conventional treatment of idiopathic anorectal abscess with that of incision, curettage and primary suture under systemic antibiotic coverDiseases of the Colon & Rectum, 1976
- Anorectal suppuration: The results of treatment and the factors influencing the recurrence rateBritish Journal of Surgery, 1973