Non-operative Versus Operative Management of Perianal Abscess in Infants: A 10-year Retrospective Study at Two Centres in the United Kingdom

jpedsurg.org

Perianal abscess (PA), with or without fistula-in-ano (FIA) is common in infants. Treatment options include incision and drainage under general anaesthesia or non-operative treatments, such as antibiotics and/or aspiration under local anaesthetic, which avoid the risks of surgery. Current management is based on surgeon preference due to a poor underlying evidence base. In this study we aimed to compare outcomes for non-operative and operative management of infant PA.

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Article · Dec 2024 · 1 min read

In brief

This retrospective study compares surgical versus non-surgical approaches for managing perianal abscesses in infants, addressing the lack of evidence-based guidelines in current practice. The research evaluates outcomes between incision-drainage under general anaesthesia and conservative treatments like antibiotics or aspiration.

Perianal abscess in infants can be managed non-operatively with antibiotics/aspiration, avoiding general anaesthesia risks.
Current treatment choice between operative and non-operative management is based on surgeon preference, not strong evidence.
This 10-year retrospective study compares outcomes between surgical drainage and conservative management in infant perianal abscess.
Fistula-in-ano may occur with or without perianal abscess in the infant population.

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