StayCurrentMD · Management of perianal abscesses in infants: A systematic review from the APSA Outcomes and Evidence-Based Practice Committee
Article1 min read·Published Sep 2025

Management of perianal abscesses in infants: A systematic review from the APSA Outcomes and Evidence-Based Practice Committee

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Article · Sep 2025 · 1 min read

In brief

In brief

This systematic review examines treatment approaches for perianal abscesses and fistula-in-ano in infants, addressing ongoing controversy between operative and non-operative management strategies. Conducted by APSA's Outcomes Committee, it synthesizes evidence on risks and benefits to guide clinical decision-making in this challenging pediatric condition.

  • Optimal management of perianal abscesses in infants remains controversial with no clear consensus on treatment approach.
  • Both operative and non-operative strategies exist, but evidence comparing their risks and benefits is limited.
  • Perianal abscess and fistula-in-ano in infants require individualized treatment decisions due to lack of standardized guidelines.

Written by the GCMD Library team from the article.

Management of infant perianal disease, including perianal abscess and fistula-in- ano (FIA), remains controversial. There is lack of consensus regarding the risks and benefits of operative and non-operative approaches.

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