ArticleWorld journal of gastrointestinal surgery2024
Proposal for a new classification of anorectal abscesses based on clinical characteristics and postoperative recurrence.
Article in World journal of gastrointestinal surgery, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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Who cites it
2 citing papers in PubMed.
- Multifactorial Analysis of Postoperative Recurrence of Anal Fistula: A Retrospective Study.Journal of multidisciplinary healthcare · 2025Article
- Microbial profile and putative microbial origin of anorectal abscess based on 16S rDNA sequencing.Frontiers in cellular and infection microbiology · 2025Article
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Authors and funding
7 authors.
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Abstract
backgroundCurrent surgical procedures for anorectal abscesses, including incision and drainage alone or combined concurrent fistulotomy, remain controversial primarily due to the unpredictability of postoperative recurrence or the progression to anal fistula.
aimTo evaluate factors that predict postoperative recurrence of anorectal abscesses and propose a new classification to guide surgical procedures.
methodsIn this retrospective study, 525 patients with anorectal abscesses treated by incision and drainage alone, at a tertiary general hospital from August 2012 to July 2022, were included. A new classification for anorectal abscesses based on their propensity to develop into fistulas, considering 18 other potential risk factors, was established. These factors, from electronic medical records, were screened for significance using the
resultsOne year post-follow-up, the overall recurrence rate was 39%:81.0% and 23.5% for fistula-prone and non-fistula-prone abscesses, respectively. Univariate
conclusionThe choice of surgical procedure for treating anorectal abscesses should follow this new classification. Prompt and thorough incision and drainage can significantly reduce postoperative recurrence.
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