Perianal abscess: a descriptive analysis of cases treated at the Hospital Santa Marcelina, São Paulo
Autor(a) principal: | |
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Data de Publicação: | 2016 |
Outros Autores: | , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Journal of Coloproctology (Rio de Janeiro. Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S2237-93632016000300149 |
Resumo: | Abstract Introduction Perianal suppurations have an incidence of 1–2:10,000 inhabitants per year and represent about 5% of proctology consultations, more frequently in males, being rare in childhood. Although perianal or anorectal abscess is an entity of relatively simple diagnosis and treatment, in a considerable percentage of patients difficulties will be found, especially considering that the initial treatment of these patients is performed by non-specialist physicians. Objective This is a retrospective survey of cases of perianal and anorectal abscess operated in Santa Marcelina Hospital between October 2011 and December 2014. Patients and methods A retrospective study of patients operated on an emergency basis for perianal and/or anorectal abscess in Santa Marcelina Hospital between October 2011 and December 2014, being excluded patients with inflammatory bowel disease. Data of gender, age, clinical presentation, the season of the year in which the abscess occurred, time of progression of symptoms, comorbidities, signs of Systemic Inflammatory Response Syndrome (SIRS) on admission, surgeries carried out, reoperations and clinical outcome were analyzed. Results Electronic medical records of 52 patients (73.1% male) who underwent surgical treatment of anorectal and perianal abscess were analyzed. The mean overall age was 43.03 years, and all patients reported pain as the main symptom, with a mean time of symptoms of 6.5 days. As for the season of the year of onset and diagnosis of perianal abscess, 61.5% of patients had this pathology in the summer and spring months. Conclusion In our study, it can be observed a higher incidence of perianal abscess in males and in the warmer months; furthermore, just over half of the patients developed perianal fistula in their progression. |
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Journal of Coloproctology (Rio de Janeiro. Online) |
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Perianal abscess: a descriptive analysis of cases treated at the Hospital Santa Marcelina, São PauloPerianal abscessMedical historySigns of syndrome of systemic inflammatory responseSurgerySeasonalityAbstract Introduction Perianal suppurations have an incidence of 1–2:10,000 inhabitants per year and represent about 5% of proctology consultations, more frequently in males, being rare in childhood. Although perianal or anorectal abscess is an entity of relatively simple diagnosis and treatment, in a considerable percentage of patients difficulties will be found, especially considering that the initial treatment of these patients is performed by non-specialist physicians. Objective This is a retrospective survey of cases of perianal and anorectal abscess operated in Santa Marcelina Hospital between October 2011 and December 2014. Patients and methods A retrospective study of patients operated on an emergency basis for perianal and/or anorectal abscess in Santa Marcelina Hospital between October 2011 and December 2014, being excluded patients with inflammatory bowel disease. Data of gender, age, clinical presentation, the season of the year in which the abscess occurred, time of progression of symptoms, comorbidities, signs of Systemic Inflammatory Response Syndrome (SIRS) on admission, surgeries carried out, reoperations and clinical outcome were analyzed. Results Electronic medical records of 52 patients (73.1% male) who underwent surgical treatment of anorectal and perianal abscess were analyzed. The mean overall age was 43.03 years, and all patients reported pain as the main symptom, with a mean time of symptoms of 6.5 days. As for the season of the year of onset and diagnosis of perianal abscess, 61.5% of patients had this pathology in the summer and spring months. Conclusion In our study, it can be observed a higher incidence of perianal abscess in males and in the warmer months; furthermore, just over half of the patients developed perianal fistula in their progression.Sociedade Brasileira de Coloproctologia2016-09-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S2237-93632016000300149Journal of Coloproctology (Rio de Janeiro) v.36 n.3 2016reponame:Journal of Coloproctology (Rio de Janeiro. Online)instname:Sociedade Brasileira de Coloproctologia (SBCP)instacron:SBCP10.1016/j.jcol.2016.03.004info:eu-repo/semantics/openAccessNeto,Isaac José Felippe CorrêaWercka,JanaínaCecchinni,Angelo Rossi SilvaLopes,Eduardo AugustoWatté,Hugo HenriquesSouza,Rogério Freitas LinoRolim,Alexander SáRobles,Laercioeng2016-10-07T00:00:00Zoai:scielo:S2237-93632016000300149Revistahttp://www.scielo.br/scielo.php?script=sci_serial&pid=2237-9363&lng=pt&nrm=isohttps://old.scielo.br/oai/scielo-oai.php||sbcp@sbcp.org.br2317-64232237-9363opendoar:2016-10-07T00:00Journal of Coloproctology (Rio de Janeiro. Online) - Sociedade Brasileira de Coloproctologia (SBCP)false |
dc.title.none.fl_str_mv |
Perianal abscess: a descriptive analysis of cases treated at the Hospital Santa Marcelina, São Paulo |
title |
Perianal abscess: a descriptive analysis of cases treated at the Hospital Santa Marcelina, São Paulo |
spellingShingle |
Perianal abscess: a descriptive analysis of cases treated at the Hospital Santa Marcelina, São Paulo Neto,Isaac José Felippe Corrêa Perianal abscess Medical history Signs of syndrome of systemic inflammatory response Surgery Seasonality |
title_short |
Perianal abscess: a descriptive analysis of cases treated at the Hospital Santa Marcelina, São Paulo |
title_full |
Perianal abscess: a descriptive analysis of cases treated at the Hospital Santa Marcelina, São Paulo |
title_fullStr |
Perianal abscess: a descriptive analysis of cases treated at the Hospital Santa Marcelina, São Paulo |
title_full_unstemmed |
Perianal abscess: a descriptive analysis of cases treated at the Hospital Santa Marcelina, São Paulo |
title_sort |
Perianal abscess: a descriptive analysis of cases treated at the Hospital Santa Marcelina, São Paulo |
author |
Neto,Isaac José Felippe Corrêa |
author_facet |
Neto,Isaac José Felippe Corrêa Wercka,Janaína Cecchinni,Angelo Rossi Silva Lopes,Eduardo Augusto Watté,Hugo Henriques Souza,Rogério Freitas Lino Rolim,Alexander Sá Robles,Laercio |
author_role |
author |
author2 |
Wercka,Janaína Cecchinni,Angelo Rossi Silva Lopes,Eduardo Augusto Watté,Hugo Henriques Souza,Rogério Freitas Lino Rolim,Alexander Sá Robles,Laercio |
author2_role |
author author author author author author author |
dc.contributor.author.fl_str_mv |
Neto,Isaac José Felippe Corrêa Wercka,Janaína Cecchinni,Angelo Rossi Silva Lopes,Eduardo Augusto Watté,Hugo Henriques Souza,Rogério Freitas Lino Rolim,Alexander Sá Robles,Laercio |
dc.subject.por.fl_str_mv |
Perianal abscess Medical history Signs of syndrome of systemic inflammatory response Surgery Seasonality |
topic |
Perianal abscess Medical history Signs of syndrome of systemic inflammatory response Surgery Seasonality |
description |
Abstract Introduction Perianal suppurations have an incidence of 1–2:10,000 inhabitants per year and represent about 5% of proctology consultations, more frequently in males, being rare in childhood. Although perianal or anorectal abscess is an entity of relatively simple diagnosis and treatment, in a considerable percentage of patients difficulties will be found, especially considering that the initial treatment of these patients is performed by non-specialist physicians. Objective This is a retrospective survey of cases of perianal and anorectal abscess operated in Santa Marcelina Hospital between October 2011 and December 2014. Patients and methods A retrospective study of patients operated on an emergency basis for perianal and/or anorectal abscess in Santa Marcelina Hospital between October 2011 and December 2014, being excluded patients with inflammatory bowel disease. Data of gender, age, clinical presentation, the season of the year in which the abscess occurred, time of progression of symptoms, comorbidities, signs of Systemic Inflammatory Response Syndrome (SIRS) on admission, surgeries carried out, reoperations and clinical outcome were analyzed. Results Electronic medical records of 52 patients (73.1% male) who underwent surgical treatment of anorectal and perianal abscess were analyzed. The mean overall age was 43.03 years, and all patients reported pain as the main symptom, with a mean time of symptoms of 6.5 days. As for the season of the year of onset and diagnosis of perianal abscess, 61.5% of patients had this pathology in the summer and spring months. Conclusion In our study, it can be observed a higher incidence of perianal abscess in males and in the warmer months; furthermore, just over half of the patients developed perianal fistula in their progression. |
publishDate |
2016 |
dc.date.none.fl_str_mv |
2016-09-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S2237-93632016000300149 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S2237-93632016000300149 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1016/j.jcol.2016.03.004 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Sociedade Brasileira de Coloproctologia |
publisher.none.fl_str_mv |
Sociedade Brasileira de Coloproctologia |
dc.source.none.fl_str_mv |
Journal of Coloproctology (Rio de Janeiro) v.36 n.3 2016 reponame:Journal of Coloproctology (Rio de Janeiro. Online) instname:Sociedade Brasileira de Coloproctologia (SBCP) instacron:SBCP |
instname_str |
Sociedade Brasileira de Coloproctologia (SBCP) |
instacron_str |
SBCP |
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SBCP |
reponame_str |
Journal of Coloproctology (Rio de Janeiro. Online) |
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Journal of Coloproctology (Rio de Janeiro. Online) |
repository.name.fl_str_mv |
Journal of Coloproctology (Rio de Janeiro. Online) - Sociedade Brasileira de Coloproctologia (SBCP) |
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||sbcp@sbcp.org.br |
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