Comparative Analysis of Transmittal Biplane Intracranial Ultrasound and Multi-Slice Spiral CT in the Diagnosis of Perianal Abscess

2021 ◽  
Vol 11 (3) ◽  
pp. 1013-1019
Author(s):  
Xuemei Tang ◽  
Pengfei Kong ◽  
Xuegui Tang
Keyword(s):  
Comparative Analysis ◽  
Clinical Outcome ◽  
Perianal Abscess ◽  
Spiral Ct ◽  
Common Disease ◽  
Anorectal Abscess ◽  
Surgical Drainage ◽  
Anorectal Disease ◽  
Diagnosis Rate ◽  
Ultrasound Group

Perianal abscess is a relatively common disease in the anorectal department, and its incidence accounts for more than 20% of anorectal disease. Once diagnosed in the clinic, surgical drainage is needed immediately, which is of great significance for the clinical outcome. In this study, patients with anorectal abscess diagnosed by transmittal biplanar intracranial ultrasound and multi-slice spiral CT were selected in our hospital. They were randomly divided into the ultrasound group and the MSCT group. Transrectal biplanar intracranial ultrasound has a higher diagnosis rate for perianal abscess, and the localization has a unique advantage, which provides a powerful image basis for the choice of clinical treatment.

scholarly journals Clinical presentation and outcome of fistula in ano cases

2018 ◽  
Vol 5 (9) ◽  
pp. 3006
Author(s):  
Shruti Yadu ◽  
Aradhana Toppo
Keyword(s):  
Digital Rectal Examination ◽  
Perianal Abscess ◽  
Clinical History ◽  
Common Disease ◽  
Anorectal Fistula ◽  
Anorectal Abscess ◽  
Cross Sectional ◽  
Chronic Inflammatory Response ◽  
Fistula In Ano ◽  
Detailed Clinical History

Background: Fistula-in-ano is an abnormal communication between the anal canal or rectum and the perianal skin, which causes a chronic inflammatory response. The most common cause is nearly always by a previous anorectal abscess. The chief complaint of anorectal fistula is intermittent or constant drainage or discharge. There is usually a history of previous pain, swelling and recurrent abscess that ruptured spontaneously or was surgically drained. There may be a pink or red elevation exuding pus, or it may have healed. Digital rectal examination remains the main stay of diagnosis in anorectal fistula cases.Methods: The present cross sectional observational prospective study was conducted in 50 patients who presented with their complaints to the Surgery Outpatient Department and who were admitted under the Department of Surgery, Dr. B.R.A.M. Hospital, Raipur (C.G.), India during study period was from March 2015 to September 2016. Detailed clinical history and examination of the patient was recorded. All investigations relevant to the study were done in all the patients. Appropriate surgical management were performed. Postoperative findings were noted.Results: 36% patients are in the age group of 41-50. 82% are male patients and 18% patients are female patient. 76% Patients had single opening. 74% Patients had perianal discharge while 66% patients presented with perianal pain. 40% patients had h/o perianal abscess. Most common mode of presentation was discharge. 76% patients had posterior opening while 24% patients had anterior opening. Fistulectomy and fistulotomy were performed in 39 subjects (78%) and 7 subjects (14 %) respectively.Conclusions: Anal fistula is a common disease which is devastating to the patients and imposes challenges to the surgeon. Early diagnosis and appropriate management are the key to success.

Clinical Outcome After a Negative Spiral CT Pulmonary Angiographic Finding in an Inpatient Population From Cardiology and Pneumology Wards*

CHEST Journal ◽  
2003 ◽  
Vol 123 (2) ◽  
pp. 359-365 ◽  
Author(s):  
Katia Bourriot ◽  
Thierry Couffinhal ◽  
Virginie Bernard ◽  
Michel Montaudon ◽  
Jacques Bonnet ◽  
...  
Keyword(s):  
Clinical Outcome ◽  
Spiral Ct ◽  
Angiographic Finding ◽  
Inpatient Population

Comparative Analysis of Clinical Outcome in Penetrating Keratoplasty Using Domestic or Imported Cornea

2015 ◽  
Vol 56 (5) ◽  
pp. 672 ◽  
Author(s):  
Dong Hyun Kim ◽  
Ja Young Lee ◽  
Joo Yeon Oh ◽  
Hyuk Jin Choi ◽  
Mee Kum Kim ◽  
...  
Keyword(s):  
Comparative Analysis ◽  
Clinical Outcome ◽  
Penetrating Keratoplasty

scholarly journals Clinical Effect Observation of Spiral CT in The Etiological Diagnosis of Senile Acute Abdomen

2015 ◽  
Vol 4 (3) ◽  
pp. 16
Author(s):  
Jun Li
Keyword(s):  
Adverse Reaction ◽  
Acute Abdomen ◽  
Clinical Application ◽  
Reaction Rate ◽  
Statistical Significance ◽  
Spiral Ct ◽  
Liver Mri ◽  
Etiological Diagnosis ◽  
Comparison Results ◽  
Diagnosis Rate

<strong>Objective</strong>: To discuss the clinical application value of multi-slice spiral CT in etiological diagnosis of senile acute abdomen. <strong>Methods</strong>: To select 80 cases of elderly patients with acute abdomen received treatment from June 2006 to August 2012 in our hospital. Among them, 40 patients were diagnosed by multi-slice spiral CT technique and considered as CT group; 40 patients were diagnosed by liver MRI technology and considered as MRI group. The diagnostic accuracy and adverse reaction rate of two groups were compared, and the comparison results were analyzed statistically using SPSS statistical software. <strong>Result</strong>: The diagnosis rate of CT group was significantly higher than that of MIR group, while the adverse reaction rate was significantly lower than that of MIR group, <em>p </em>&lt; 0.05, with statistical significance. <strong>Conclusion</strong>: multi-slice spiral CT can accurately diagnose the cause of senile acute abdomen. It has important clinical significance for the treatment of senile acute abdomen, and it has clinical application value.

Comparative Analysis of Clinical Outcome and Perioperative Complications in Primary vs. Revision Adult Scoliosis Surgery

2010 ◽  
Vol 10 (9) ◽  
pp. S100-S101 ◽  
Author(s):  
Samuel K. Cho ◽  
Keith H. Bridwell ◽  
Lawrence G. Lenke ◽  
Christine R. Baldus
Keyword(s):  
Comparative Analysis ◽  
Clinical Outcome ◽  
Perioperative Complications ◽  
Adult Scoliosis ◽  
Scoliosis Surgery

scholarly journals THE EVALUATION OF BACTERIOLOGY IN PRE - POST KSHARA KARMA OF PERIANAL ABSCESS - A CASE REPORT

2020 ◽  
Vol 8 (10) ◽  
pp. 4944-4948
Author(s):  
Hiremath Sangamesh ◽  
Biradar Vijaykumar
Keyword(s):  
Case Report ◽  
Bone Tissue ◽  
Perianal Abscess ◽  
The Body ◽  
Local Temperature ◽  
Microbiological Analysis ◽  
Surgical Drainage ◽  
The Mind

Abscess is a collection of the pus in cavity and it is an acquired condition seen all over the body. The clini-cal features of abscess are swelling, pain, redness, tenderness, and local temperature. The aggravated Doshas vitiate the skin, blood, muscles, fat and bone tissue, become localised and produce a troublesome swelling - deep rooted, painful, slowly bulging called VIDRADHI. The abscess which is developed in peria-nal regions is called perianal abscess. Treatment of perianal abscesses requires prompt surgical drainage. However, there is no evidence that uncomplicated perianal abscesses can be safely treated only with drain-age. For this reason, it is important to identify the causative organisms in pre- post I&D Pratisarani-yakshara karma there-fore, we accessed the microbiological analysis of this patient. Here in this case the Ayurvedic management of Pratisaraniyakshara was applied post I and D considering it as a DustaVrana keeping in the mind to avoid the reoccurrence and complication.

EP.FRI.535 A clinical audit of post-operative antibiotics prescription in uncomplicated perianal abscesses

2021 ◽  
Vol 108 (Supplement_7) ◽  
Author(s):  
Sarah Zhao ◽  
Ahmad Najdawi ◽  
Aggelios Laliotis ◽  
Rhys Thomas ◽  
Michael El Boghdady
Keyword(s):  
Clinical Audit ◽  
Perianal Abscess ◽  
University Teaching ◽  
National Standard ◽  
Surgical Patients ◽  
Surgical Drainage ◽  
Timely Manner ◽  
Systemic Complications ◽  
Incision And Drainage ◽  
Local And Systemic Complications

Abstract Aims Management of perianal abscesses continues to revolve around prompt surgical drainage. The Association of Coloproctology of Great Britain and Ireland (ACPGBI) guidelines state that all patients should have incision and drainage within 24 hours and antibiotics are not indicated in routine uncomplicated perianal abscesses. We aimed to study the antibiotics prescription after surgical drainage in a London university teaching hospital against the national standard.  Methods A single-centred retrospective analysis of all emergency surgical admissions for incision and drainage of perianal abscess was carried out for a 6 month period. Patients’ demographics, Co-morbidities, local and systemic complications and readmissions were studied.  Results A total of 36 patients, (mean age 43, 64% males) were included in this study, 21 received incision and drainage without antibiotics prescription, while 15 received empirical post-operative antibiotics. Indications for antibiotic therapy in this group included diabetes, immunocompromise, local complications (necrosis, cellulitis) and recurrence. There was no clear indication for antibiotics in 60% of patients who received them. 86% of patients had surgical drainage within 24 hours of presentation. One patient was readmitted for a second drainage 3 months later. Most common empirical agent used was co-amoxiclav (53%), followed by (33%) combination of co-amoxiclav and metronidazole.  Conclusion Although surgical drainage was generally carried out in timely manner according to guidance, there was excessive post-operative antibiotic prescriptions. Increase awareness of guidelines is required to improve antibiotic stewardship in these surgical patients in order to avoid unnecessary drugs’ prescription.

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