Advanced Search

Show simple item record

dc.contributor.authorGokce, Feridun Suat
dc.contributor.authorGokce, Aylin Hande
dc.descriptionGokce, Feridun Suat/0000-0001-8597-5787; Gokce, Aylin Hande/0000-0003-1908-2889en_US
dc.descriptionPubMed: 32935802en_US
dc.description.abstractOBJECTIVE: Perianal abscesses are frequently seen in clinical practice, and perianal fistulas develop in 30%-50% of cases after treatment. This study investigated whether the type of dressing applied after abscess drainage is correlated with fistula development. Prevention of fistula formation would reduce both the loss of work and healthcare costs. METHODS: The records of patients who underwent drainage of perianal abscesses between January 2015 and January 2018 were retrospectively reviewed. Patients with postoperative dressings changed with washing of the area in the hospital were included as Group 1. Patients with dressings changed at home and the area bathed in 70% povidone-iodine sitz bath were included as Group 2. The frequency and time of fistula formation, age, sex, cost, and workdays lost in the two groups were compared. RESULTS: Between-group differences in age, sex, body mass index, and type of fistula that developed after months and 1 year of the abscess drainage were not statistically significant (p > 0.05). During follow-up, fistula development was significantly lower in Group 1 than in Group 2 (p < 0.001). The risk of perianal fistula development was significantly increased in those with a body mass index (BMI) > 30 (p = 0.004). CONCLUSIONS: After perianal abscess drainage, in-hospital washing and dressing of the abscess area until abscess closure reduced the risk of perianal fistula, lost work time, and cost. The risk of perianal fistula development appeared to increase with BMI. A large, prospective study is needed for confirmation.en_US
dc.publisherAssoc Medica Brasileiraen_US
dc.subjectRectal fistulaen_US
dc.titleCan the risk of anal fistula development after perianal abscess drainage be reduced?en_US
dc.departmentİstanbul Atlas Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümüen_US
dc.department-temp[Gokce, Feridun Suat] Balikli Rum Hosp, Dept Gen Surg, Istanbul, Turkey; [Gokce, Aylin Hande] Istanbul Atlas Univ, Med Fac, Dept Gen Surg, Istanbul, Turkeyen_US
dc.contributor.institutionauthorGokce, Aylin Hande
dc.relation.journalRevista Da Associacao Medica Brasileiraen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US

Files in this item


This item appears in the following Collection(s)

Show simple item record