{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,12]],"date-time":"2026-03-12T03:11:17Z","timestamp":1773285077548,"version":"3.50.1"},"reference-count":14,"publisher":"Hindawi Limited","license":[{"start":{"date-parts":[[2016,1,1]],"date-time":"2016-01-01T00:00:00Z","timestamp":1451606400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["BioMed Research International"],"published-print":{"date-parts":[[2016]]},"abstract":"<jats:p><jats:italic>Introduction<\/jats:italic>. In children treated surgically for first-time perianal abscesses, discovery and excision of concomitant fistulas may also be warranted.<jats:italic>Aim<\/jats:italic>. To evaluate children of varying age after incision and drainage of first-time perianal abscesses, examining recurrences rates with and without search for a fistula.<jats:italic>Method<\/jats:italic>. A retrospective review was conducted, analyzing children (ages 0\u201315 years) treated for first-time perianal abscesses at a tertiary pediatric surgical center, with a minimum follow-up of 6 months.<jats:italic>Results<\/jats:italic>. A total of 104 patients subjected to 112 treatments for first-time perianal abscesses were eligible. Surgical procedures constituted 84 (75%) of treatments, searching for fistulas in 49 (58%). In 34 (69%), fistulas were confirmed and treated. In the surgically treated subset, the recurrence rate was higher if no attempt was made to exclude a fistula (46%), as opposed to confirmed absence of a fistula (27%) or concurrent fistulotomy (9%;<mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M1\"><mml:mi>p<\/mml:mi><mml:mo>=<\/mml:mo><mml:mn fontstyle=\"italic\">0.02<\/mml:mn><\/mml:math>). Younger patients showed a higher recurrence rate (12\/26; 46%), compared with older counterparts (11\/58; 19%) (<mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M2\"><mml:mi>p<\/mml:mi><mml:mo>=<\/mml:mo><mml:mn fontstyle=\"italic\">0.002<\/mml:mn><\/mml:math>).<jats:italic>Conclusion<\/jats:italic>. In children surgically treated for first-time perianal abscess, recurrence rates appear to be lowered by locating and treating coexisting fistulas.<\/jats:p>","DOI":"10.1155\/2016\/9712854","type":"journal-article","created":{"date-parts":[[2016,1,5]],"date-time":"2016-01-05T21:05:54Z","timestamp":1452027954000},"page":"1-6","source":"Crossref","is-referenced-by-count":23,"title":["Outcomes of Various Interventions for First-Time Perianal Abscesses in Children"],"prefix":"10.1155","volume":"2016","author":[{"given":"Alexander","family":"Juth Karlsson","sequence":"first","affiliation":[{"name":"Faculty of Medicine, Institution of Clinical Science, Lund University, 221 85 Lund, Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Martin","family":"Sal\u00f6","sequence":"additional","affiliation":[{"name":"Institution of Clinical Science, Lund University, Department of Pediatric Surgery, Sk\u00e5ne University Hospital, 221 85 Lund, Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pernilla","family":"Stenstr\u00f6m","sequence":"additional","affiliation":[{"name":"Institution of Clinical Science, Lund University, Department of Pediatric Surgery, Sk\u00e5ne University Hospital, 221 85 Lund, Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"98","reference":[{"key":"1","doi-asserted-by":"publisher","DOI":"10.1016\/s0022-3468(98)90193-2"},{"key":"2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpedsurg.2012.06.032"},{"key":"3","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2006-3092"},{"key":"4","doi-asserted-by":"publisher","DOI":"10.1007\/s10350-004-0844-0"},{"key":"5","doi-asserted-by":"publisher","DOI":"10.1053\/jpsu.2000.6931"},{"key":"6","doi-asserted-by":"publisher","DOI":"10.1007\/bf02139215"},{"key":"7","doi-asserted-by":"publisher","DOI":"10.1111\/j.1440-1754.2009.01644.x"},{"key":"8","doi-asserted-by":"publisher","DOI":"10.1007\/s00383-011-2956-7"},{"key":"9","doi-asserted-by":"publisher","DOI":"10.1111\/j.1440-1754.2009.01694.x"},{"key":"10","doi-asserted-by":"publisher","DOI":"10.1055\/s-0029-1241878"},{"key":"11","doi-asserted-by":"publisher","DOI":"10.1016\/0022-3468(93)90163-f"},{"key":"12","doi-asserted-by":"publisher","DOI":"10.1007\/s00268-005-0415-0"},{"key":"13","doi-asserted-by":"publisher","DOI":"10.1111\/j.1445-2197.2011.05941.x"},{"issue":"8","key":"14","doi-asserted-by":"crossref","first-page":"689","DOI":"10.1007\/s00383-002-0761-z","volume":"18","year":"2002","journal-title":"Pediatric Surgery International"}],"container-title":["BioMed Research International"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/downloads.hindawi.com\/journals\/bmri\/2016\/9712854.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/bmri\/2016\/9712854.xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/bmri\/2016\/9712854.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,9,13]],"date-time":"2020-09-13T15:53:07Z","timestamp":1600012387000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.hindawi.com\/journals\/bmri\/2016\/9712854\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016]]},"references-count":14,"alternative-id":["9712854","9712854"],"URL":"https:\/\/doi.org\/10.1155\/2016\/9712854","relation":{},"ISSN":["2314-6133","2314-6141"],"issn-type":[{"value":"2314-6133","type":"print"},{"value":"2314-6141","type":"electronic"}],"subject":[],"published":{"date-parts":[[2016]]}}}