Retrospective study of perianal abscess incidence in 141 patients, showing a 45% development of perianal fistula.
Aims To look with some detail into the incidence of abscesses in the anal rectal region in terms of demographic/age groups, follow-up protocol, investigations requested & incidence of those abscesses being complicated by a subsequent peri-anal fistula Methods Retrospective study, all data is collected from East Sussex healthcare trust (ESHT) electronic record system (e-searcher). A total of 141 patients presented to the trust as peri-anal abscesses during the 30-months period between January the first 2018 and end of June 2020. Results Most patients (88%) were between the third & 6th decades of life. Male to Female ratio was 3:2. Two thirds of patients had associated comorbidities and one third otherwise fit. Imaging was performed in over half of patients. Two thirds of patients were folowed-up within seven weeks either face to face or remotely. The abscess healed in over half of the patients in the follow-up period, however 45% of patients developed subsequent perianal fistula. Conclusions The majority of patients (60%) were from the male gender. In the study most patients were followed up within 7 to 8 weeks which seems to be a reasonable time to allow the wound to heal. Imaging either CT or MRI was performed in over half the patients. Perianal fistulae developed in 45% of patients which is on the higher side of national average.
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