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Sådan skal analabscesser skæres

Forfatter(e)

Daniel Mark Skovgaards1, Helene Perregaard2, Kikke Bartholin Hagen1 & Andreas Nordholm-Carstensen1

1) Abdominalcenter K, Bispebjerg Hospital, 2) Kirurgisk Afdeling, Nordsjællands Hospital

Ugeskr Læger 2020;182:V07200506

Reference: 
Ugeskr Læger 2020;182:V07200506
Blad nummer: 
Treatment of anal abscesses

Daniel Mark Skovgaards, Helene Perregaard, Kikke Bartholin Hagen & Andreas Nordholm-Carstensen

Ugeskr Læger 2020;182:V07200506

Anal abscesses are well-known conditions worldwide. The golden standard of acute treatment is incision and drainage. Knowledge of the anatomy of the anal area and the abscess involvement of perianal spaces is crucial in order to perform safe and correct surgical treatment as summarised in this review. Pre- and perioperative imaging with magnetic resonance imaging, endoanal ultrasonography or CT facilitates correct incision and drainage, while antibiotics as conservative approach have no place in the treatment of abscesses. One third of the patients have an underlying fistula, and if suspected referral to a fistula centre is warranted.

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