GuidelineInternational journal of colorectal disease2012
German S3 guideline: anal abscess.
Guideline in International journal of colorectal disease, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 3 of them syntheses that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
23 citing papers in PubMed, 3 syntheses or guidelines pooled it, 80 citations in OpenAlex.
- Incision and drainage of cutaneous abscess with or without cavity packing: a systematic review, meta-analysis, and trial sequential analysis of randomised controlled trials.Langenbeck's archives of surgery · 2021Pooled it
- German S3 guidelines: anal abscess and fistula (second revised version).Langenbeck's archives of surgery · 2017Pooled it
- Internal dressings for healing perianal abscess cavities.The Cochrane database of systematic reviews · 2016Pooled it
- Preventing the recurrence of acute anorectal abscesses utilizing a loose seton: a pilot study.The Pan African medical journal · 2020Trial
- Comparison of incision and drainage procedure with drainage and ligation of the intersphincteric fistula tract in the treatment of deep perianal abscess.Scientific reports · 2026Article
- Three-cavity clearance significantly reduces the postoperative fistula rate and abscess recurrence following glandular perianal abscess: a single-center real-world study.Techniques in coloproctology · 2026Article
- Aerobic Microbiological Spectrum and Antibiotic Resistance in Children Operated for Anorectal Abscesses.Journal of clinical medicine · 2024Article
- Fistula development after anal abscess drainage-a multicentre retrospective cohort study.International journal of colorectal disease · 2023Article
- Article
- Acute supralevator abscess: the little we know.Annals of the Royal College of Surgeons of England · 2022Review
- Benign Anorectal Disorder Management in Low-Resource Settings.Clinics in colon and rectal surgery · 2022Review
- Perianal fistulodesis - A pilot study of a novel minimally invasive surgical and medical approach for closure of perianal fistulae.World journal of gastrointestinal surgery · 2021Article
- A mini-invasive procedure for the treatment of supralevator abscess of cryptoglandular origin by extrasphincteric extension: preliminary results at 1-year follow-up.International journal of colorectal disease · 2019Article
- Supralevator abscess: New treatment for an uncommon aetiology: Case report.International journal of surgery case reports · 2019Article
- Japanese Practice Guidelines for Anal Disorders II. Anal fistula.Journal of the anus, rectum and colon · 2018Review
- Simple Wound Irrigation in the Postoperative Treatment for Surgically Drained Spontaneous Soft Tissue Abscesses: Study Protocol for a Prospective, Single-Blinded, Randomized Controlled Trial.JMIR research protocols · 2017Article
- A study assessing postoperative Corrugate Rubber drain of perianal abscess.Annals of medicine and surgery (2012) · 2016Article
- PERFACT procedure to treat supralevator fistula-in-ano: A novel single stage sphincter sparing procedure.World journal of gastrointestinal surgery · 2016Article
- Prevalence and recurrence rate of perianal abscess--a population-based study, Sweden 1997-2009.International journal of colorectal disease · 2016Article
- [Frequent proctologic findings from a surgeon's viewpoint].Der Hautarzt; Zeitschrift fur Dermatologie, Venerologie, und verwandte Gebiete · 2015Review
Corrections and comments
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Authors and funding
6 authors at 5 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe incidence of anal abscess is relatively high, and the condition is most common in young men.
methodsA systematic review of the literature was undertaken.
resultsThis abscess usually originates in the proctodeal glands of the intersphincteric space. A distinction is made between subanodermal, intersphincteric, ischioanal, and supralevator abscesses. The patient history and clinical examination are diagnostically sufficient to establish the indication for surgery. Further examinations (endosonography, MRI) should be considered in recurrent abscesses or supralevator abscesses. The timing of the surgical intervention is primarily determined by the patient's symptoms, and acute abscess is generally an indication for emergency treatment. Anal abscesses are treated surgically. The type of access (transrectal or perianal) depends on the abscess location. The goal of surgery is thorough drainage of the focus of infection while preserving the sphincter muscles. The wound should be rinsed regularly (using tap water). The use of local antiseptics is associated with a risk of cytotoxicity. Antibiotic treatment is only necessary in exceptional cases. Intraoperative fistula exploration should be conducted with extreme care if at all; no requirement to detect fistula should be imposed. The risk of abscess recurrence or secondary fistula formation is low overall, but they can result from insufficient drainage. Primary fistulotomy should only be performed in case of superficial fistulas and by experienced surgeons. In case of unclear findings or high fistulas, repair should take place in a second procedure.
conclusionIn this clinical S3 guideline, instructions for diagnosis and treatment of anal abscess are described for the first time in Germany.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.