Skip to main content
SpringerLink
Log in

Perianal Abscess and Fistula

  • Chapter
Highlights in Coloproctology

  • 66 Accesses

Abstract

Perianal infection may present as an acute abscess or as a chronic discharging fistula but the two states are so interrelated that they are discussed together. These conditions have been recorded in writings for more than 2000 years. Fistulas were treated by ligatures, corrosives or laying open by the knife. John of Arderne in 1370 described the principles of surgical treatment which accord with modern ideas (Power, 1910)1.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
eBook
USD 16.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 16.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Power D (1910) Treatise of fistula-in-ano, haemorrhoids and clysters by John Arderne. Oxford University Press, Oxford

    Google Scholar 

  2. Grace RH, Harper IA, Thompson RG (1982) Anorectal sepsis: microbiology in relationship to fistula-in-ano. Br J Surg 69: 401 - 403

    Article  PubMed  CAS  Google Scholar 

  3. Eisenhammer ST (1958) A new approach to the anorectal fistulous abscess based on the high intermuscular lesion. Surg Gynecol Obstet 106: 595 - 599

    PubMed  CAS  Google Scholar 

  4. Parks AG (1961) Pathogenesis and treatment of fistula-in-ano. Br Med J 1: 463 - 469

    Article  PubMed  CAS  Google Scholar 

  5. Abcarian H (1976) Acute suppuration of the anorectum. In: Surgical annual 8. L.H. Nyhus (ed). Appleton-Century-Crofts, New York, p 103

    Google Scholar 

  6. McElwain JW, Alexander RM, MacLean MD (1966) Primary fistulectomy for anorectal abscess: clinical study of 500 cases. Dis Colon Rectum 9: 181 - 185

    Article  PubMed  CAS  Google Scholar 

  7. Buchanan R, Grace RH (1973) Anorectal suppuration: the results of treatment and the factors influencing the recurrence rate. Br J Surg 60: 537 - 540

    Article  Google Scholar 

  8. Goldberg SM, Gordon PH, Nivatvongs S (1980) Essentials of anorectal surgery. Lippincott, Philadelphia

    Google Scholar 

  9. Isbister WH (1989) A simple method for the management of anorectal abscess. Aust NZ J Surg 57: 721 - 724

    Google Scholar 

  10. Goligher JC (1984) Surgery of the anus, rectum and colon, 5th edn. Baillière Tindall, London, p 174

    Google Scholar 

  11. Goodsall DH (1900) Diseases of the anus and rectum. Longman, London

    Google Scholar 

  12. Parks AG, Gordon PH, Hardcastle JD (1976) A classification of fistula-in-ano. Br J Surg 63: 1 - 12

    Article  PubMed  CAS  Google Scholar 

  13. Marks CG, Ritchie JK (1977) Anal fistulas at St. Mark’s Hospital. Br J Surg 64: 84-91

    Google Scholar 

  14. Shouler PJ, Grimley RP, Keighley MRB, Alexander-Williams J (1986) Fistula-in-ano is usually simple to manage surgically. Int J Colorect Dis 1: 113 - 115

    Article  CAS  Google Scholar 

  15. Parks AG, Stitz RW (1976) The treatment of high fistula-in-ano. Dis Colon Rectum 19: 489 - 499

    Article  Google Scholar 

  16. Williams JG, MacLeod CA, Rothenberger DA, Goldberg SM (1991) Seton treatment of high anal fistula. Br J Surg 78: 1159 - 1161

    Article  PubMed  CAS  Google Scholar 

  17. Mann CV, Clifton MA (1985) Re-routing of the track for the treatment of high anal and anorectal fistula. Br J Surg 72: 134 - 137

    Article  PubMed  CAS  Google Scholar 

  18. Jones IT, Fazio VW, Jagelman DG (1987) The use of transanal rectal advancement flaps in the management of fistulas involving the anorectum. Dis Colon Rectum 30: 919 - 923

    Article  PubMed  CAS  Google Scholar 

  19. Wedell J, Meier zu Eissen P, Banzhaf G, Kleine L (1987) Sliding flap advancement for the treatment of high level fistulae. Br J Surg 74: 390 - 391

    Article  PubMed  CAS  Google Scholar 

  20. Hughes ESR (1953) Primary skin-grafting in proctological surgery. Br J Surg 41: 639 - 642

    Article  Google Scholar 

  21. Seow-Choen F, Nicholls RJ (1992) Anal fistula. Br J Surg 79: 197 - 205

    Article  CAS  Google Scholar 

  22. Hughes ESR, Cuthbertson AM, Killingback MK (1983) Anorectal suppuration II: anal fistula. pp 142 - 162 In: Colorectal surgery. Churchill Livingstone, Edinburgh

    Google Scholar 

  23. Penna A, Crohn BB (1938) Perianal fistulas as a complication of regional ileitis. Ann Surg 108: 867 - 873

    Article  Google Scholar 

  24. Morson BC, Lockhart-Mummery HE (1959) Anal lesions in Crohn’s disease. Lancet 11: 1122 - 1125

    Article  Google Scholar 

  25. Allan A, Keighley MRB (1988) Management of perianal Crohn’s disease. World J Surg 12: 198 - 202

    Article  PubMed  CAS  Google Scholar 

  26. Marks CG, Ritchie JK, Lockhart-Mummery HE (1981) Anal fistulas in Crohn’s disease. Br J Surg 68: 525 - 527

    Article  PubMed  CAS  Google Scholar 

  27. Hobbiss JH, Schofield PF (1982) Management of perianal Crohn’s disease. J R Soc Med 75: 414 - 417

    PubMed  CAS  Google Scholar 

  28. Woollard HH (1930) Cutaneous glands of man. J Anat 64: 415 - 421

    PubMed  CAS  Google Scholar 

  29. Jackman RJ, McQuarrie HB (1949) Hidradenitis suppurativa: its confusion with pilonidal disease and anal fistula. Am J Surg 77: 349 - 351

    Article  PubMed  CAS  Google Scholar 

  30. Wiltz O, Schoetz DJ, Murray JJ, Roberts PL, Coller JA, Veidenheimer MC (1990) Perianal hidradenitis suppurativa. Dis Colon Rectum 33: 731 - 734

    Article  PubMed  CAS  Google Scholar 

  31. Morgan WP, Hughes LE (1979) The distribution, size and density of the apocrine glands in hidradenitis suppurativa. Br J Surg 66: 853 - 856

    Article  PubMed  CAS  Google Scholar 

  32. Allen-Mersh TG (1990) Pilonidal sinus: finding the right track for treatment. Br J Surg 77: 123 - 132

    Article  PubMed  CAS  Google Scholar 

  33. Patey DH, Scarf RW (1948) Pilonidal sinus in a barber’s hand with observations on postanal pilonidal sinus. Lancet ii: 13 - 14

    Google Scholar 

  34. Gilinsky NH, Marks IN, Kottler RE, Price SK (1983) Abdominal tuberculosis in a ten-year review. South Afr Med J 64: 849 - 857

    CAS  Google Scholar 

  35. Salavi A, Gottesman L, Dailey TH (1991) Anorectal surgery in the HIV+ patient: update. Dis Colon Rectum 34: 299 - 304

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. University Hospital of South Manchester, Nell Lane, West Didsbury, M20 8LR, Manchester, UK

    Philip F. Schofield MD, FRCS (Consultant Surgeon and Honorary Visiting Professor), N. Y. Haboubi MB, ChB, DPath, MRCPath (Consultant Head of Department of Histopathology) & D. F. Martin MB, ChB, MRCP, FRCR (Consultant Radiologist)

Authors
  1. Philip F. Schofield MD, FRCS
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. N. Y. Haboubi MB, ChB, DPath, MRCPath
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. D. F. Martin MB, ChB, MRCP, FRCR
    View author publications

    You can also search for this author in PubMed Google Scholar

Rights and permissions

Reprints and permissions

Copyright information

© 1993 Springer-Verlag London Limited

About this chapter

Cite this chapter

Schofield, P.F., Haboubi, N.Y., Martin, D.F. (1993). Perianal Abscess and Fistula. In: Highlights in Coloproctology. Springer, London. https://doi.org/10.1007/978-1-4471-3456-5_19

Download citation

  • DOI: https://doi.org/10.1007/978-1-4471-3456-5_19

  • Publisher Name: Springer, London

  • Print ISBN: 978-3-540-19779-9

  • Online ISBN: 978-1-4471-3456-5

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics

Search

Navigation