Evaluation and management of perianal abscess and anal fistula: SICCR position statement

Abstract

Perianal sepsis is a common condition ranging from acute abscess to chronic anal fistula. In most cases, the source is considered to be a non-specific cryptoglandular infection starting from the intersphincteric space. Surgery is the main treatment and several procedures have been developed, but the risks of recurrence and of impairment of continence still seem to be an unresolved issue. This statement reviews the pertinent literature and provides evidence-based recommendations to improve individualized management of patients.

Keywords: Abscess; Advancement flap; Anal; Biomaterial; Fibrin glue; Fistula; Fistula-in-ano; Horseshoe extension; Implant; LIFT; Perianal; Plug; Seton; Transsphincteric fistula; VAAFT.