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  4. Vol 6, Issue 5, 2025

A Multi-Dimensional Evaluation of Recurrence Rate and Fecal Continence Function between Primary Radical Incision and Drainage and Staged Surgical Procedures for High Perianal Abscess

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DOI: 10.23977/medsc.2025.060528 | Downloads: 0 | Views: 142

Author(s)

Dong Yang 1, Yonggang Zhang 2

Affiliation(s)

1 Department of Anorectal Surgery, The First People's Hospital of Lianyungang, Lianyungang, Jiangsu, China
2 The First Affiliated Hospital of Kangda College of Nanjing Medical University, Lianyungang, Jiangsu, China

Corresponding Author

Dong Yang

ABSTRACT

We conducted a study to compare the outcomes, including long-term recurrence rate, fecal continence function, and quality of life, between primary radical incision and drainage and staged surgical procedures for high perianal abscess. A prospective randomized controlled study was conducted, enrolling 200 patients randomly assigned to either the experimental group (primary radical surgery) or the control group (staged surgery). Recurrence rates were compared through a 12-month postoperative follow-up, and evaluations were performed using the Wexner score and the Colorectal Functional Quality of Life (CRFQoL) scale. The recurrence rate in the experimental group was significantly lower than that in the control group (8.0% vs 20.0%, χ²=6.857, P=0.009). However, the experimental group exhibited a higher Wexner score (2.8±1.3 vs 1.7±1.1, t=2.843, P=0.005). There was no statistically significant difference in the degree of quality of life improvement between the two groups (total score P=0.287). Primary radical surgery is more effective in reducing recurrence risk but has a greater impact on fecal continence function. Both surgical approaches demonstrate equivalent efficacy in ultimately improving patients' quality of life, indicating that clinical selection should be individualized.

KEYWORDS

High perianal abscess; Primary radical surgery; Staged surgery; Recurrence rate

CITE THIS PAPER

Dong Yang, Yonggang Zhang, A Multi-Dimensional Evaluation of Recurrence Rate and Fecal Continence Function between Primary Radical Incision and Drainage and Staged Surgical Procedures for High Perianal Abscess. MEDS Clinical Medicine (2025) Vol. 6: 189-195. DOI: http://dx.doi.org/10.23977/medsc.2025.060528.

REFERENCES

[1] Fan H, Han Y, Long QJ. Clinical efficacy of one-time radical incision and drainage versus simple incision and drainage for perianal abscess [J]. Chinese and Foreign Medical Research, 2025, 23(17):35-39.
[2] Tan DC, Zhang LJ, Zhan HT, et al. Effects of primary posterior incision with seton and lateral incision drainage on anal function and complication rate in patients with high horseshoe-type perianal abscess [J]. Contemporary Medicine, 2023, 29(26):60-63.
[3] Wei JC, Yang GY, Huang XZ. Comparison of clinical efficacy between radical incision and drainage and simple incision and drainage for perianal abscess [J]. China Practical Medicine, 2021, 16(3):3.
[4] Huang Y. Comparison of clinical efficacy between one-time radical surgery for perianal abscess and simple incision and drainage [J]. Medical World, 2020(15):1.

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