Abstract
Who would ever imagine surgeons stating the heretical view that an abscess does not need to be drained? Yet, that is the recommendation of the surgeons who wrote an article on the management of perianal abscesses for this month's Pediatrics Electronic Pages .1 Although this condition has generated controversy for a long time,2 perianal abscesses traditionally have been treated surgically by incision and drainage. On the basis of a 10-year retrospective analysis of hospital records, this provocative study contradicts that approach. The authors showed that medical management is superior to surgical treatment, because it takes care of the immediate … Address correspondence to Myles B. Abbott, MD, FAAP, East Bay Pediatrics, 2999 Regent St, Berkeley, CA 94705. E-mail: mabbottmd{at}aol.com
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