Our experiences in children older than 2 years with perianal pathologies İki yaş üzeri çocuklarda perianal bölge patolojilerinde klinik deneyimlerimiz

Abstract

© Cocuk Cerrahisi Dergisi. All rights reserved.Aim: To analyse patients who were older than 2 years and admitted to our clinic due to perianal pathologies. Material and Method: Patients older then 2 years and admitted to our clinic due to perianal pathologies between 2005-2011 were analysed retrospectively according to their age, sex, complaint, lesion type and medical treatment. Results: 96 patients were admitted due to perianal pathologies. Female male ratio was 1/2, mean age was 7,3 years. Most common symptoms were erythema at perianal region, mass, constipation, rectal bleeding and inability to defecate. There were 23 patients with perianal fissure, 37 with perianal abscess, 31 with perianal fistula and 5 with hemmorhoid. 82 (% 85) patients were followed up with medical treatment, while 11 (% 12) were operated, 2 were examined under general anestesia and in 1 patient after examination under general anestesia atherosclerol enjection was performed. Patients were operated due to perianal abscess in 2 (% 16) and perianal fistula in 9 (% 75) of the cases. Two patients with perianal abscess had drainage under general anesthesia while one didn't need surgical intervention after examination under general anesthesia. Four (% 33) fistulotomy and 5 (% 41) fistulectomy was performed in patients with perianal fistula. Examination under general anesthesia was performed in one patient with hemmorhoid and atherosclerol % 2 injection was performed in another. Conclusion: Perianal pathologies is still a problem in pediatric surgical practice. If medical tretment fails in resistant and complicated cases, surgical therapy is indicated.