Reoperation for recurrent anal and perianal conditions

Disorders of the anus and rectum present frequently in infants and children, so it is important for the pediatric surgeon to identify conditions that require operative intervention. Fortunately, most minor anorectal disorders respond successfully to initial management and rarely recur. The following diseases will be addressed in this chapter, in relation to recurrence and reoperative surgery: rectal prolapse, fistula-in-ano, hemorrhoids, and anal warts. Management of perianal disease secondary to Crohn's disease and congenital anomalies of the anus and rectum are presented in other sections of this book.