Outcomes of Management of Anal and Perianal Suppuration at Niamey National Hospital, Niger

Rachid Sani; Harissou Adamou; Lassey Didier James; Ibrahim Amadou Magagi; Younssa Hama; Adama Saidou; Kadi Idé; Illa Hamidine; Hadjara Dady; Maman Sani Chaibou

doi:doi:10.11648/j.js.20180604.15

Outcomes of Management of Anal and Perianal Suppuration at Niamey National Hospital, Niger

Rachid Sani, Harissou Adamou, Lassey Didier James, Ibrahim Amadou Magagi, Younssa Hama, Adama Saidou, Kadi Idé, Illa Hamidine, Hadjara Dady, Maman Sani Chaibou

Published in Journal of Surgery (Volume 6, Issue 4)

Received: 9 July 2018 Accepted: 19 July 2018 Published: 14 August 2018

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Abstract

Bakground: Anal and perianal sepsis is common anorectal disorders found in surgical practice. This study aims to report epidemiological aspects and outcomes of management of anal and perianal suppuration. Methods: This was a retrospective study from January 2011 to June 2016 at Niamey National Hospital. Patients operated on for anal and perianal suppuration of non-specific anorectal origin were included. Results: During the study period, we collected 141 cases of anal and perianal suppurations. The average age of our patients was 42±8.8 years. The sex ratio was 3.27 in favor of men. The origin of the patients was urban in 73.8% of the cases. The history of diabetes mellitus was found in 14.2% (n=20). Anal fistulas and anal abscesses (n=115) were simple in 46% (n=53) and complex in 54% (n=62). A fistulectomy with the placement of an elastic seton was performed for 41.13% of cases (n=58) and fistulotomy in 29.78%. The evolution of 6 months was marked by a recurrence in 10.63% (n = 15), the anal incontinence of gas at 9.21% (n=13). Deaths (n=4) were recorded in patients with Fournier’s gangrene. Uncomplicated therapeutic success was 80.13% (n=113). Conclusion: The surgical treatment of anal fistula (the main cause of anal and perianal suppuration) aims to eradicate the suppuration and to preserve the anal continence. The fistulotomy done in the context of the management of a simple fistula gives a better outcome. Incontinence-related complications and relapses must impose thoroughness and patience in the surgical treatment of complex fistulas.

Published in	Journal of Surgery (Volume 6, Issue 4)
DOI	10.11648/j.js.20180604.15
Page(s)	101-106
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2018. Published by Science Publishing Group

Keywords

Anal Fistula, Perianal, Abscesses, Cryptoglandular, Fistulectomy, Fistulotomy

References

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APA Style

Rachid Sani, Harissou Adamou, Lassey Didier James, Ibrahim Amadou Magagi, Younssa Hama, et al. (2018). Outcomes of Management of Anal and Perianal Suppuration at Niamey National Hospital, Niger. Journal of Surgery, 6(4), 101-106. https://doi.org/10.11648/j.js.20180604.15

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ACS Style

Rachid Sani; Harissou Adamou; Lassey Didier James; Ibrahim Amadou Magagi; Younssa Hama, et al. Outcomes of Management of Anal and Perianal Suppuration at Niamey National Hospital, Niger. J. Surg. 2018, 6(4), 101-106. doi: 10.11648/j.js.20180604.15

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AMA Style

Rachid Sani, Harissou Adamou, Lassey Didier James, Ibrahim Amadou Magagi, Younssa Hama, et al. Outcomes of Management of Anal and Perianal Suppuration at Niamey National Hospital, Niger. J Surg. 2018;6(4):101-106. doi: 10.11648/j.js.20180604.15

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@article{10.11648/j.js.20180604.15,
  author = {Rachid Sani and Harissou Adamou and Lassey Didier James and Ibrahim Amadou Magagi and Younssa Hama and Adama Saidou and Kadi Idé and Illa Hamidine and Hadjara Dady and Maman Sani Chaibou},
  title = {Outcomes of Management of Anal and Perianal Suppuration at Niamey National Hospital, Niger},
  journal = {Journal of Surgery},
  volume = {6},
  number = {4},
  pages = {101-106},
  doi = {10.11648/j.js.20180604.15},
  url = {https://doi.org/10.11648/j.js.20180604.15},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.js.20180604.15},
  abstract = {Bakground: Anal and perianal sepsis is common anorectal disorders found in surgical practice. This study aims to report epidemiological aspects and outcomes of management of anal and perianal suppuration. Methods: This was a retrospective study from January 2011 to June 2016 at Niamey National Hospital. Patients operated on for anal and perianal suppuration of non-specific anorectal origin were included. Results: During the study period, we collected 141 cases of anal and perianal suppurations. The average age of our patients was 42±8.8 years. The sex ratio was 3.27 in favor of men. The origin of the patients was urban in 73.8% of the cases. The history of diabetes mellitus was found in 14.2% (n=20). Anal fistulas and anal abscesses (n=115) were simple in 46% (n=53) and complex in 54% (n=62). A fistulectomy with the placement of an elastic seton was performed for 41.13% of cases (n=58) and fistulotomy in 29.78%. The evolution of 6 months was marked by a recurrence in 10.63% (n = 15), the anal incontinence of gas at 9.21% (n=13). Deaths (n=4) were recorded in patients with Fournier’s gangrene. Uncomplicated therapeutic success was 80.13% (n=113). Conclusion: The surgical treatment of anal fistula (the main cause of anal and perianal suppuration) aims to eradicate the suppuration and to preserve the anal continence. The fistulotomy done in the context of the management of a simple fistula gives a better outcome. Incontinence-related complications and relapses must impose thoroughness and patience in the surgical treatment of complex fistulas.},
 year = {2018}
}

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TY - JOUR
T1 - Outcomes of Management of Anal and Perianal Suppuration at Niamey National Hospital, Niger
AU - Rachid Sani
AU - Harissou Adamou
AU - Lassey Didier James
AU - Ibrahim Amadou Magagi
AU - Younssa Hama
AU - Adama Saidou
AU - Kadi Idé
AU - Illa Hamidine
AU - Hadjara Dady
AU - Maman Sani Chaibou
Y1 - 2018/08/14
PY - 2018
N1 - https://doi.org/10.11648/j.js.20180604.15
DO - 10.11648/j.js.20180604.15
T2 - Journal of Surgery
JF - Journal of Surgery
JO - Journal of Surgery
SP - 101
EP - 106
PB - Science Publishing Group
SN - 2330-0930
UR - https://doi.org/10.11648/j.js.20180604.15
AB - Bakground: Anal and perianal sepsis is common anorectal disorders found in surgical practice. This study aims to report epidemiological aspects and outcomes of management of anal and perianal suppuration. Methods: This was a retrospective study from January 2011 to June 2016 at Niamey National Hospital. Patients operated on for anal and perianal suppuration of non-specific anorectal origin were included. Results: During the study period, we collected 141 cases of anal and perianal suppurations. The average age of our patients was 42±8.8 years. The sex ratio was 3.27 in favor of men. The origin of the patients was urban in 73.8% of the cases. The history of diabetes mellitus was found in 14.2% (n=20). Anal fistulas and anal abscesses (n=115) were simple in 46% (n=53) and complex in 54% (n=62). A fistulectomy with the placement of an elastic seton was performed for 41.13% of cases (n=58) and fistulotomy in 29.78%. The evolution of 6 months was marked by a recurrence in 10.63% (n = 15), the anal incontinence of gas at 9.21% (n=13). Deaths (n=4) were recorded in patients with Fournier’s gangrene. Uncomplicated therapeutic success was 80.13% (n=113). Conclusion: The surgical treatment of anal fistula (the main cause of anal and perianal suppuration) aims to eradicate the suppuration and to preserve the anal continence. The fistulotomy done in the context of the management of a simple fistula gives a better outcome. Incontinence-related complications and relapses must impose thoroughness and patience in the surgical treatment of complex fistulas.
VL - 6
IS - 4
ER -

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Author Information

Rachid Sani

Department of General and Digestive Surgery, Niamey National Hospital, Faculty of Health Sciences, Abdou Moumouni University of Niamey, Niamey, Niger
Harissou Adamou

Department of General and Digestive Surgery, Zinder National Hospital, Faculty of Health Sciences, University of Zinder, Zinder, Niger
Lassey Didier James

Department of General and Digestive Surgery, Niamey National Hospital, Faculty of Health Sciences, Abdou Moumouni University of Niamey, Niamey, Niger
Ibrahim Amadou Magagi

Department of General and Digestive Surgery, Zinder National Hospital, Faculty of Health Sciences, University of Zinder, Zinder, Niger
Younssa Hama

Department of General and Digestive Surgery, Niamey National Hospital, Faculty of Health Sciences, Abdou Moumouni University of Niamey, Niamey, Niger
Adama Saidou

Department of General and Digestive Surgery, Niamey National Hospital, Faculty of Health Sciences, Abdou Moumouni University of Niamey, Niamey, Niger
Kadi Idé

Department of General and Digestive Surgery, Niamey National Hospital, Faculty of Health Sciences, Abdou Moumouni University of Niamey, Niamey, Niger
Illa Hamidine

Department of General and Digestive Surgery, Zinder National Hospital, Faculty of Health Sciences, University of Zinder, Zinder, Niger
Hadjara Dady

Department of Anaesthesia and Critical Care, Niamey National Hospital, Faculty of Health Sciences, Abdou Moumouni University of Niamey, Niamey, Niger
Maman Sani Chaibou

Department of Anaesthesia and Critical Care, Niamey National Hospital, Faculty of Health Sciences, Abdou Moumouni University of Niamey, Niamey, Niger

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APA Style

Rachid Sani, Harissou Adamou, Lassey Didier James, Ibrahim Amadou Magagi, Younssa Hama, et al. (2018). Outcomes of Management of Anal and Perianal Suppuration at Niamey National Hospital, Niger. Journal of Surgery, 6(4), 101-106. https://doi.org/10.11648/j.js.20180604.15

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ACS Style

Rachid Sani; Harissou Adamou; Lassey Didier James; Ibrahim Amadou Magagi; Younssa Hama, et al. Outcomes of Management of Anal and Perianal Suppuration at Niamey National Hospital, Niger. J. Surg. 2018, 6(4), 101-106. doi: 10.11648/j.js.20180604.15

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AMA Style

Rachid Sani, Harissou Adamou, Lassey Didier James, Ibrahim Amadou Magagi, Younssa Hama, et al. Outcomes of Management of Anal and Perianal Suppuration at Niamey National Hospital, Niger. J Surg. 2018;6(4):101-106. doi: 10.11648/j.js.20180604.15

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@article{10.11648/j.js.20180604.15,
  author = {Rachid Sani and Harissou Adamou and Lassey Didier James and Ibrahim Amadou Magagi and Younssa Hama and Adama Saidou and Kadi Idé and Illa Hamidine and Hadjara Dady and Maman Sani Chaibou},
  title = {Outcomes of Management of Anal and Perianal Suppuration at Niamey National Hospital, Niger},
  journal = {Journal of Surgery},
  volume = {6},
  number = {4},
  pages = {101-106},
  doi = {10.11648/j.js.20180604.15},
  url = {https://doi.org/10.11648/j.js.20180604.15},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.js.20180604.15},
  abstract = {Bakground: Anal and perianal sepsis is common anorectal disorders found in surgical practice. This study aims to report epidemiological aspects and outcomes of management of anal and perianal suppuration. Methods: This was a retrospective study from January 2011 to June 2016 at Niamey National Hospital. Patients operated on for anal and perianal suppuration of non-specific anorectal origin were included. Results: During the study period, we collected 141 cases of anal and perianal suppurations. The average age of our patients was 42±8.8 years. The sex ratio was 3.27 in favor of men. The origin of the patients was urban in 73.8% of the cases. The history of diabetes mellitus was found in 14.2% (n=20). Anal fistulas and anal abscesses (n=115) were simple in 46% (n=53) and complex in 54% (n=62). A fistulectomy with the placement of an elastic seton was performed for 41.13% of cases (n=58) and fistulotomy in 29.78%. The evolution of 6 months was marked by a recurrence in 10.63% (n = 15), the anal incontinence of gas at 9.21% (n=13). Deaths (n=4) were recorded in patients with Fournier’s gangrene. Uncomplicated therapeutic success was 80.13% (n=113). Conclusion: The surgical treatment of anal fistula (the main cause of anal and perianal suppuration) aims to eradicate the suppuration and to preserve the anal continence. The fistulotomy done in the context of the management of a simple fistula gives a better outcome. Incontinence-related complications and relapses must impose thoroughness and patience in the surgical treatment of complex fistulas.},
 year = {2018}
}

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