{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,2]],"date-time":"2026-09-02T12:54:50Z","timestamp":1788353690720,"version":"build-2803163510"},"reference-count":12,"publisher":"FapUNIFESP (SciELO)","issue":"8","license":[{"start":{"date-parts":[[2020,8,1]],"date-time":"2020-08-01T00:00:00Z","timestamp":1596240000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2020,8,1]],"date-time":"2020-08-01T00:00:00Z","timestamp":1596240000000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2020,8,1]],"date-time":"2020-08-01T00:00:00Z","timestamp":1596240000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev. Assoc. Med. Bras."],"abstract":"<jats:p>SUMMARY  OBJECTIVE  Perianal abscesses are frequently seen in clinical practice, and perianal fistulas develop in 30%\u201350% of cases after treatment. This study investigated whether the type of dressing applied after abscess drainage is correlated with fistula development. Prevention of fistula formation would reduce both the loss of work and healthcare costs.  METHODS  The records of patients who underwent drainage of perianal abscesses between January 2015 and January 2018 were retrospectively reviewed. Patients with postoperative dressings changed with washing of the area in the hospital were included as Group 1. Patients with dressings changed at home and the area bathed in 10% povidone-iodine sitz bath were included as Group 2. The frequency and time of fistula formation, age, sex, cost, and workdays lost in the two groups were compared.  RESULTS  Between-group differences in age, sex, body mass index, and type of fistula that developed after months and 1 year of the abscess drainage were not statistically significant (p &gt; 0.05). During follow-up, fistula development was significantly lower in Group 1 than in Group 2 (p &lt; 0.001). The risk of perianal fistula development was significantly increased in those with a body mass index (BMI) &gt; 30 (p = 0.004).  CONCLUSIONS  After perianal abscess drainage, in-hospital washing and dressing of the abscess area until abscess closure reduced the risk of perianal fistula, lost work time, and cost. The risk of perianal fistula development appeared to increase with BMI. A large, prospective study is needed for confirmation.<\/jats:p>","DOI":"10.1590\/1806-9282.66.8.1082","type":"journal-article","created":{"date-parts":[[2020,9,11]],"date-time":"2020-09-11T16:59:16Z","timestamp":1599843556000},"page":"1082-1086","source":"Crossref","is-referenced-by-count":16,"title":["Can the risk of anal fistula development after perianal abscess drainage be reduced?"],"prefix":"10.1590","volume":"66","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8597-5787","authenticated-orcid":false,"given":"Feridun Suat","family":"Gokce","sequence":"first","affiliation":[{"name":"Bal\u0131kl\u0131 Rum Hospital,  Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1908-2889","authenticated-orcid":false,"given":"Aylin Hande","family":"Gokce","sequence":"additional","affiliation":[{"name":"Istanbul Atlas University,  Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"530","published-online":{"date-parts":[[2020,8]]},"reference":[{"key":"ref1","article-title":"Perianal abscess","volume":"356","author":"Sahnan K","year":"2017","journal-title":"BMJ"},{"issue":"3","key":"ref2","doi-asserted-by":"crossref","first-page":"669","DOI":"10.1007\/s00384-015-2500-7","article-title":"Prevalence and recurrence rate of perianal abscess: a population-based study, Sweden 1997-2009","volume":"31","author":"Adamo K","year":"2016","journal-title":"Int J Colorectal Dis"},{"issue":"1","key":"ref3","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1002\/bjs.1800630102","article-title":"A classification of fistula-in-ano","volume":"63","author":"Parks AG","year":"1976","journal-title":"Br J Surg"},{"issue":"12","key":"ref4","doi-asserted-by":"crossref","first-page":"1117","DOI":"10.1097\/DCR.0000000000000733","article-title":"Clinical practice guideline for the management of anorectal abscess, fistula-in-ano, and rectovaginal fistula","volume":"59","author":"Vogel JD","year":"2016","journal-title":"Dis Colon Rectum"},{"issue":"8","key":"ref5","doi-asserted-by":"crossref","first-page":"923","DOI":"10.1097\/DCR.0b013e31821cc1f9","article-title":"Does adjuvant antibiotic treatment after drainage of anorectal abscess prevent development of anal fistulas? A randomized, placebo-controlled, double-blind, multicenter study","volume":"54","author":"S\u00f6zener U","year":"2011","journal-title":"Dis Colon Rectum"},{"issue":"10","key":"ref6","doi-asserted-by":"crossref","first-page":"595","DOI":"10.1007\/s10151-015-1365-7","article-title":"Evaluation and management of perianal abscess and anal fistula: a consensus statement developed by the Italian Society of Colorectal Surgery (SICCR)","volume":"19","author":"Amato A","year":"2015","journal-title":"Tech Coloproctol"},{"issue":"2","key":"ref7","doi-asserted-by":"crossref","first-page":"191","DOI":"10.1007\/s00423-017-1563-z","article-title":"German S3 guidelines: anal abscess and fistula (second revised version)","volume":"402","author":"Ommer A","year":"2017","journal-title":"Langenbecks Arch Surg"},{"issue":"4","key":"ref8","first-page":"364","article-title":"Application of closed negative pressure irrigation and suction device in the treatment of high perianal abscess","volume":"22","author":"Chen SQ","year":"2019","journal-title":"Zhonghua Wei Chang Wai Ke Za Zhi"},{"issue":"5","key":"ref9","doi-asserted-by":"crossref","first-page":"377","DOI":"10.1055\/s-0039-1687834","article-title":"Perianal Crohn\u2019s disease","volume":"32","author":"Pogacnik JS","year":"2019","journal-title":"Clin Colon Rectal Surg"},{"issue":"4","key":"ref10","doi-asserted-by":"crossref","first-page":"306","DOI":"10.1007\/s15010-008-8169-x","article-title":"New insights into the epidemiology and etiology of Fournier\u2019s gangrene: a review of 33 patients","volume":"37","author":"Czymek R","year":"2009","journal-title":"Infection"},{"key":"ref11","doi-asserted-by":"crossref","first-page":"7942","DOI":"10.12659\/MSM.917836","article-title":"Relationship between body mass \u0131ndex and recurrence\/anal fistula formation following \u0131nitial operation for anorectal abscess","volume":"25","author":"Lu D","year":"2019","journal-title":"Med Sci Monit"},{"issue":"2","key":"ref12","doi-asserted-by":"crossref","first-page":"S23","DOI":"10.1016\/j.jviscsurg.2014.07.008","article-title":"Treatment of anal fistula and abscess","volume":"152","author":"Pigot F","year":"2015","journal-title":"J Visc Surg"}],"container-title":["Revista da Associa\u00e7\u00e3o M\u00e9dica Brasileira"],"original-title":[],"link":[{"URL":"http:\/\/www.scielo.br\/pdf\/ramb\/v66n8\/1806-9282-ramb-66-8-1082.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,1,24]],"date-time":"2021-01-24T03:46:44Z","timestamp":1611460004000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.scielo.br\/scielo.php?script=sci_arttext&pid=S0104-42302020000801082&tlng=en"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,8]]},"references-count":12,"journal-issue":{"issue":"8","published-online":{"date-parts":[[2020,8]]}},"alternative-id":["S0104-42302020000801082"],"URL":"https:\/\/doi.org\/10.1590\/1806-9282.66.8.1082","relation":{},"ISSN":["1806-9282","0104-4230"],"issn-type":[{"value":"1806-9282","type":"electronic"},{"value":"0104-4230","type":"print"}],"subject":[],"published":{"date-parts":[[2020,8]]}}}