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Ignat’ev V.V.

Sevastopol City Hospital No. 5 — Center for Maternal and Child Health Protection

Shramko P.V.

Sevastopol City Hospital No. 5 — Center for Maternal and Child Health Protection

Muraviev A.V.

Sevastopol City Hospital No. 5 — Center for Maternal and Child Health Protection

Garapov T.A.

Sevastopol City Hospital No. 5 — Center for Maternal and Child Health Protection;
Sevastopol City Pirogov Hospital No. 1

Tishukov M.Yu.

Vernadsky Crimean Federal University

Surgical treatment of perianal abscess and fistula-in-ano in neonates and infants

Authors:

Ignat’ev V.V., Shramko P.V., Muraviev A.V., Garapov T.A., Tishukov M.Yu.

More about the authors

Journal: Pirogov Russian Journal of Surgery. 2024;(11): 46‑53

DOI: 10.17116/hirurgia202411146

Read: 1650 times

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Table of contents

SURGICAL TREATMENT OF PERIANAL ABSCESS AND FISTULA-IN-ANO IN NEONATES AND INFANTS
SURGICAL TREATMENT OF PERIANAL ABSCESS AND FISTULA-IN-ANO IN NEONATES AND INFANTS

To cite this article:

Ignat’ev VV, Shramko PV, Muraviev AV, Garapov TA, Tishukov MYu. Surgical treatment of perianal abscess and fistula-in-ano in neonates and infants. Pirogov Russian Journal of Surgery. 2024;(11):46‑53. (In Russ.)
https://doi.org/10.17116/hirurgia202411146

Подписка 2026 Хирургия. Журнал им. Н.И. Пирогова (Pirogov Russian Journal of Surgery)
МСФ на ЯМ
Использование инфографики авторами научных работ
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Abstract:

OBJECTIVE

To compare the incision and drainage of perianal abscess (ID) without fistulotomy with Gabriel procedure (GP) in neonates and infants with perianal abscess and fistula-in-ano.

MATERIAL AND METHODS

A single-center retrospective comparative study included neonates and infants aged 1—12 months with first occuring perianal abscess and fistula-in-ano. Postoperative follow-up was 1 year. Abscess with fistula was confirmed in all patients.

RESULTS

The study included 31 boys (13 ones in the ID group, and 18 ones in the GP group). Clinical characteristics were similar in both groups. The cure rate in the OG group (100%, 18/18) was significantly higher than in the ID group (54%, 7/13; p=0.002). Abscess recurrence was significantly less common in the OG group (p=0.002). No fecal incontinence was observed in any patient. We analyzed the factors affecting the incidence of perianal abscess and fistula-in-ano recurrence using the odds ratio and 95% confidence interval (CI). There was no correlation between recurrence rate and positive bacteriological examination of postoperative wound as well as type of feeding (OR 0.5; 95% CI 0.07 — 3.55; p=0.24, and OR 0.53; 95% CI 0.058 — 4.912; p=0.15, respectively).

CONCLUSION

Recurrence rate is significantly lower after GP for perianal abscess and fistula-in-ano.

Keywords:

neonates
infants
perianal abscess
fistula-in-ano
incision and drainage
fistulectomy
abscess recurrence

Authors:

Ignat’ev V.V.

Sevastopol City Hospital No. 5 — Center for Maternal and Child Health Protection

Shramko P.V.

Sevastopol City Hospital No. 5 — Center for Maternal and Child Health Protection

Muraviev A.V.

Sevastopol City Hospital No. 5 — Center for Maternal and Child Health Protection

Garapov T.A.

Sevastopol City Hospital No. 5 — Center for Maternal and Child Health Protection;
Sevastopol City Pirogov Hospital No. 1

Tishukov M.Yu.

Vernadsky Crimean Federal University

Received:

11.02.2024

Accepted:

20.03.2024

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