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

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Topic overview

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.

Key takeaways

  • 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.

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How to cite: GlobalCastMD. Management of perianal abscesses in infants: A systematic review from the APSA Outcomes and Evidence-Based Practice Committee. GlobalCastMD Medical Library. 2025-09-19. https://library.globalcastmd.com/article/11015

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