Research Article
Volume 9 Issue 4 - 2022
Anorrectal Abscess an Underestimated, Silent and Rough Disease. Integration of a New Treatment Line: “Four Phases” 15 Years of Experience

Morelos Adolfo García Sánchez1*, Daniel Avilés Santamaría2, Mireya De La Fuente González3, Ramón Armando Sánchez Tamayo4, Mara Luz Terán Estrella2, Jorge Luis Torres Castañeda2, Wendy García Sánchez2, Cristián Andrés González Vargas2, José Luis García Hernández2 and Mauricio Israel Flores Pazos2

1Colonic and Rectal Surgeon and General Surgeon, Surgical Department at “Dr. Rubén Leñero” General Hospital Secretary of Health of Mexico City, National Autonomous University of Mexico, México City, Mexico

2General Surgeon, Surgical Department at “Dr. Rubén Leñero” General Hospital Secretary of Health of Mexico City, National Autonomous University of Mexico, México City, Mexico

3General Surgeon, Surgical Department at “Dr. Gaudencio González Garza” General Hospital Specialized Medical Unit, “La Raza”, National Medical Center, Mexican Social Security Institute, National Autonomous University of Mexico, México City, Mexico

4Internist, Cardiology and Hemodynamicist, Internal Medicine Service, Naucalpan General Hospital ISEM, National Autonomous University of Mexico, México City, Mexico

*Corresponding Author: Morelos Adolfo García Sánchez, Colonic and Rectal Surgeon and General Surgeon, Surgical Department at “Dr. Rubén Leñero” General Hospital Secretary of Health of Mexico City, National Autonomous University of Mexico, México City, Mexico.
Received: February 23, 2022; Published: March 15, 2022




Abstract

Introduction: Anorectal abscesses are a very common pathology and are underestimated. Its etiology is unknown to date, and it is defined as a collection of pus in the virtual spaces of the anus and rectum.

Objective: To describe the experience of the results obtained in the Colon and Rectal Surgery service of treated anorectal abscesses, in four hospitals in Mexico City.

Material and Methods: It is a study with a retrospective, longitudinal, observational and descriptive design. The records and files of all the patients who were treated for anorectal abscesses during 15 years in the Colon and Rectal Surgery services are reviewed.

Results: 4,549 records with confirmed diagnosis of anorectal abscess were reviewed, detecting a total of 1,311 patients, with 1,009 males representing 77% and 302 females representing 23%, in a male-female relationship. from 3:1; with an average age of 46 years, a range of 16 to 87 years. A new line of treatment is specifically described: diagnosis, surgical technique, follow-up, complications or sequelae.

Discussion: Anorectal abscesses have little relevance in their beginnings, since there is a disdain for this disease, both for its own essence, and for its apocryphal natural evolution, where its silent procedure can be devastating when underestimated. Since it can evolve into cellulite or even Fournier syndrome.

Conclusion: The treatment of anorectal abscesses is surgical, its prompt resolution and its adequate surgical technique will lead to a complete cure without sequelae, with the exposed and well-specified line of treatment called four phases.

 

Keywords: Abscess; Anorectal; Pus; Treatment; Surgical Technique; Fournier Syndrome

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Citation: Morelos Adolfo García Sánchez., et al. “Anorrectal Abscess an Underestimated, Silent and Rough Disease. Integration of a New Treatment Line: “Four Phases” 15 Years of Experience”. EC Gastroenterology and Digestive System 9.4 (2022): 07-16.

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