Narrative review compares conservative and operative management, suggesting safe options for infants with perianal issues.
The current data is limited in its ability to definitively determine the superiority of conservative versus operative management and further hampered by the lack of a standard definition of conservative management. Consensus definitions and quality prospective trials are needed to fully understand this clinical entity. Nonetheless, the current literature suggests a trial of conservative management can be safe and effective.
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Alligood et al. (2026) studied this question.
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