Journal of Surgery

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Outcomes of Management of Anal and Perianal Suppuration at Niamey National Hospital, Niger

Received: 09 July 2018    Accepted: 19 July 2018    Published: 14 August 2018
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Abstract

Bakground: Anal and perianal sepsis is common anorectal disorders found in surgical practice. This study aims to report epidemiological aspects and outcomes of management of anal and perianal suppuration. Methods: This was a retrospective study from January 2011 to June 2016 at Niamey National Hospital. Patients operated on for anal and perianal suppuration of non-specific anorectal origin were included. Results: During the study period, we collected 141 cases of anal and perianal suppurations. The average age of our patients was 42±8.8 years. The sex ratio was 3.27 in favor of men. The origin of the patients was urban in 73.8% of the cases. The history of diabetes mellitus was found in 14.2% (n=20). Anal fistulas and anal abscesses (n=115) were simple in 46% (n=53) and complex in 54% (n=62). A fistulectomy with the placement of an elastic seton was performed for 41.13% of cases (n=58) and fistulotomy in 29.78%. The evolution of 6 months was marked by a recurrence in 10.63% (n = 15), the anal incontinence of gas at 9.21% (n=13). Deaths (n=4) were recorded in patients with Fournier’s gangrene. Uncomplicated therapeutic success was 80.13% (n=113). Conclusion: The surgical treatment of anal fistula (the main cause of anal and perianal suppuration) aims to eradicate the suppuration and to preserve the anal continence. The fistulotomy done in the context of the management of a simple fistula gives a better outcome. Incontinence-related complications and relapses must impose thoroughness and patience in the surgical treatment of complex fistulas.

DOI 10.11648/j.js.20180604.15
Published in Journal of Surgery (Volume 6, Issue 4, August 2018)
Page(s) 101-106
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Anal Fistula, Perianal, Abscesses, Cryptoglandular, Fistulectomy, Fistulotomy

References
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[2] Sugrue J, Nordenstam J, Abcarian H, Bartholomew A, Schwartz JL, Mellgren A, Tozer PJ (2017).. Pathogenesis and persistence of cryptoglandular anal fistula: a systematic review. Tech Coloproctol. 21 (6):425-432.
[3] de Parades V, Zeitoun JD, Atienza P (2010). La fistule anale cryptoglandulaire. J Chir Visc 147 (4):265–277.
[4] Zeitoun JD, de Parades V (2016). Abcès anal: lors de l’intervention de drainage, faut-il chercher et traiter la fistule ? Colon Rectum; 10 (1):76-79.
[5] Abramowitz L, Allez M, Devulder F, Faucheron JL, Ganansia R, Soudan D, Tarrerias AL (2010). In: Fistules anales. La «Collection SNFCP». Springer, Paris 2010; 103 pages. https://doi.org/10.1007/978-2-8178-0019-6_4.
[6] Wright WF (2016). Infectious Diseases Perspective of Anorectal Abscess and Fistula-in-ano Disease. Am J Med Sci; 351 (4):427-34.
[7] Fathallah N, Ravaux A, de Parades V, Pommaret E, Crochet E, Ganansia O (2017). Conduite à tenir face à un abcès anopérinéal. Ann. Fr. Med. Urgence; 7:174-182.
[8] Pigot F (2015). Traitement des fistules anales abcédées ou non. J Chir Visc, 152 (2): S22-S28.
[9] Amato A, Bottini C, De Nardi P, Giamundo P, Lauretta A, Realis Luc A et al (2015). Evaluation and management of perianal abscess and anal fistula: a consensus statement developed by the Italian Society of Colorectal Surgery (SICCR). Tech Coloproctol; 19 (10):595–606.
[10] Neto I. J F C, Wercka J, Rangel DP, Lopes EA., Watté HH, Souza RFL et al (2017). Retrospective analysis of patients submitted to surgical treatment of perianal fistula in Santa Marcelina Hospital, São Paulo. J coloproctol; 37 (3), 193-198.
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[14] Bagny A, Lawson-Ananissoh, LM., Bouglouga O, El Hadji YR., Kaaga LY, Redah, D, Djibril, MA (2017). La pathologie anorectale au chu campus de Lomé (Togo). Eur Sci Journal- ESJ; 13 (3): 423-248.
[15] Kouadio GK, Kouadio LN, Turquln HT (2015). Prise en charge de la fistule anale au CHU de Treichville à Abidjan. A propos de 47 observations. Rev. CAMES - Série A, Sciences et Médecine; A-2: 45-47.
[16] Mathusoothanan, P., & Venugopal, ER. A (2018). Clinical Study on Perianal Abscess. Stanley Medical Journal; 4 (4), 6-8.
[17] Sissoko F, Ongoiba N, Coulibaly Y, Coulibaly B, Doumbia D, Dembélé M, et al (2003): Fistules anales à l’hôpital du point G à propos de 164 cas. Mali Méd; 18 (1&2): 25-28.
[18] Bakari AA, Ali N, Gadam IA, Gali BM, Tahir C, Yawe K, et al (2013). Fistula-in-Ano Complicated by Fournier’s Gangrene Our Experience in North-Eastern Region of Nigeria. Niger J Surg. 2013; 19 (2):56-60.
[19] Oueidat D, Assi TB, Youssef L, Rizkallah A., Zerbe R, Cappello F et al (2015). A 30 year experience in the management of anal fistula. Euromediterranean Biomedical Journal, 12 (39) 184–188.
[20] Siproudhis L (2015). Fistules anales: deux doigts de prudence et un doigt d’expertise! Hépato-Gastro & Oncologie Digestive; 22 (9):837-9.
[21] Khati NJ, Sondel Lewis N, Frazier AA, Obias V, Zeman RK, Hill MC (2013). CT of acute perianal abscesses and infected fistulae: a pictorial essay. Emerg Radiol.; 2 (3):329-35.
[22] Joy HA, Williams JG (2002). The outcome of surgery for complex anal fistula. Colorectal Dis.; 4 (4):254-261.
[23] Garg P (2018). Understanding and Treating Supralevator Fistula-in-Ano: MRI Analysis of 51 Cases and a Review of Literature. Dis Colon Rectum; 61 (5):612-621. doi: 10.1097/DCR.0000000000001051.
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Author Information
  • Department of General and Digestive Surgery, Niamey National Hospital, Faculty of Health Sciences, Abdou Moumouni University of Niamey, Niamey, Niger

  • Department of General and Digestive Surgery, Zinder National Hospital, Faculty of Health Sciences, University of Zinder, Zinder, Niger

  • Department of General and Digestive Surgery, Niamey National Hospital, Faculty of Health Sciences, Abdou Moumouni University of Niamey, Niamey, Niger

  • Department of General and Digestive Surgery, Zinder National Hospital, Faculty of Health Sciences, University of Zinder, Zinder, Niger

  • Department of General and Digestive Surgery, Niamey National Hospital, Faculty of Health Sciences, Abdou Moumouni University of Niamey, Niamey, Niger

  • Department of General and Digestive Surgery, Niamey National Hospital, Faculty of Health Sciences, Abdou Moumouni University of Niamey, Niamey, Niger

  • Department of General and Digestive Surgery, Niamey National Hospital, Faculty of Health Sciences, Abdou Moumouni University of Niamey, Niamey, Niger

  • Department of General and Digestive Surgery, Zinder National Hospital, Faculty of Health Sciences, University of Zinder, Zinder, Niger

  • Department of Anaesthesia and Critical Care, Niamey National Hospital, Faculty of Health Sciences, Abdou Moumouni University of Niamey, Niamey, Niger

  • Department of Anaesthesia and Critical Care, Niamey National Hospital, Faculty of Health Sciences, Abdou Moumouni University of Niamey, Niamey, Niger

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  • APA Style

    Rachid Sani, Harissou Adamou, Lassey Didier James, Ibrahim Amadou Magagi, Younssa Hama, et al. (2018). Outcomes of Management of Anal and Perianal Suppuration at Niamey National Hospital, Niger. Journal of Surgery, 6(4), 101-106. https://doi.org/10.11648/j.js.20180604.15

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    ACS Style

    Rachid Sani; Harissou Adamou; Lassey Didier James; Ibrahim Amadou Magagi; Younssa Hama, et al. Outcomes of Management of Anal and Perianal Suppuration at Niamey National Hospital, Niger. J. Surg. 2018, 6(4), 101-106. doi: 10.11648/j.js.20180604.15

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    AMA Style

    Rachid Sani, Harissou Adamou, Lassey Didier James, Ibrahim Amadou Magagi, Younssa Hama, et al. Outcomes of Management of Anal and Perianal Suppuration at Niamey National Hospital, Niger. J Surg. 2018;6(4):101-106. doi: 10.11648/j.js.20180604.15

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  • @article{10.11648/j.js.20180604.15,
      author = {Rachid Sani and Harissou Adamou and Lassey Didier James and Ibrahim Amadou Magagi and Younssa Hama and Adama Saidou and Kadi Idé and Illa Hamidine and Hadjara Dady and Maman Sani Chaibou},
      title = {Outcomes of Management of Anal and Perianal Suppuration at Niamey National Hospital, Niger},
      journal = {Journal of Surgery},
      volume = {6},
      number = {4},
      pages = {101-106},
      doi = {10.11648/j.js.20180604.15},
      url = {https://doi.org/10.11648/j.js.20180604.15},
      eprint = {https://download.sciencepg.com/pdf/10.11648.j.js.20180604.15},
      abstract = {Bakground: Anal and perianal sepsis is common anorectal disorders found in surgical practice. This study aims to report epidemiological aspects and outcomes of management of anal and perianal suppuration. Methods: This was a retrospective study from January 2011 to June 2016 at Niamey National Hospital. Patients operated on for anal and perianal suppuration of non-specific anorectal origin were included. Results: During the study period, we collected 141 cases of anal and perianal suppurations. The average age of our patients was 42±8.8 years. The sex ratio was 3.27 in favor of men. The origin of the patients was urban in 73.8% of the cases. The history of diabetes mellitus was found in 14.2% (n=20). Anal fistulas and anal abscesses (n=115) were simple in 46% (n=53) and complex in 54% (n=62). A fistulectomy with the placement of an elastic seton was performed for 41.13% of cases (n=58) and fistulotomy in 29.78%. The evolution of 6 months was marked by a recurrence in 10.63% (n = 15), the anal incontinence of gas at 9.21% (n=13). Deaths (n=4) were recorded in patients with Fournier’s gangrene. Uncomplicated therapeutic success was 80.13% (n=113). Conclusion: The surgical treatment of anal fistula (the main cause of anal and perianal suppuration) aims to eradicate the suppuration and to preserve the anal continence. The fistulotomy done in the context of the management of a simple fistula gives a better outcome. Incontinence-related complications and relapses must impose thoroughness and patience in the surgical treatment of complex fistulas.},
     year = {2018}
    }
    

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  • TY  - JOUR
    T1  - Outcomes of Management of Anal and Perianal Suppuration at Niamey National Hospital, Niger
    AU  - Rachid Sani
    AU  - Harissou Adamou
    AU  - Lassey Didier James
    AU  - Ibrahim Amadou Magagi
    AU  - Younssa Hama
    AU  - Adama Saidou
    AU  - Kadi Idé
    AU  - Illa Hamidine
    AU  - Hadjara Dady
    AU  - Maman Sani Chaibou
    Y1  - 2018/08/14
    PY  - 2018
    N1  - https://doi.org/10.11648/j.js.20180604.15
    DO  - 10.11648/j.js.20180604.15
    T2  - Journal of Surgery
    JF  - Journal of Surgery
    JO  - Journal of Surgery
    SP  - 101
    EP  - 106
    PB  - Science Publishing Group
    SN  - 2330-0930
    UR  - https://doi.org/10.11648/j.js.20180604.15
    AB  - Bakground: Anal and perianal sepsis is common anorectal disorders found in surgical practice. This study aims to report epidemiological aspects and outcomes of management of anal and perianal suppuration. Methods: This was a retrospective study from January 2011 to June 2016 at Niamey National Hospital. Patients operated on for anal and perianal suppuration of non-specific anorectal origin were included. Results: During the study period, we collected 141 cases of anal and perianal suppurations. The average age of our patients was 42±8.8 years. The sex ratio was 3.27 in favor of men. The origin of the patients was urban in 73.8% of the cases. The history of diabetes mellitus was found in 14.2% (n=20). Anal fistulas and anal abscesses (n=115) were simple in 46% (n=53) and complex in 54% (n=62). A fistulectomy with the placement of an elastic seton was performed for 41.13% of cases (n=58) and fistulotomy in 29.78%. The evolution of 6 months was marked by a recurrence in 10.63% (n = 15), the anal incontinence of gas at 9.21% (n=13). Deaths (n=4) were recorded in patients with Fournier’s gangrene. Uncomplicated therapeutic success was 80.13% (n=113). Conclusion: The surgical treatment of anal fistula (the main cause of anal and perianal suppuration) aims to eradicate the suppuration and to preserve the anal continence. The fistulotomy done in the context of the management of a simple fistula gives a better outcome. Incontinence-related complications and relapses must impose thoroughness and patience in the surgical treatment of complex fistulas.
    VL  - 6
    IS  - 4
    ER  - 

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