Age-Stratified Management of Pediatric Perianal Abscesses: A Proposed Framework Integrating the "Developmental Healing Axis"

To synthesize current evidence on the management of pediatric perianal abscesses and propose an age-specific framework for clinical decision-making.

Pediatric perianal abscesses are common yet often underrecognized.
Age-related differences affect immune response, microbiota, and glandular anatomy, influencing disease progression.
Individualized, age-specific management optimizes recovery and minimizes recurrence.

The review emphasizes the necessity of tailored treatment approaches based on age to enhance healing outcomes and reduce complications.

Current evidence lacks standardized treatment protocols.
There is a need for further research into predictive factors and microbiome influences on disease course.

An age-specific management framework is essential for optimizing treatment of pediatric perianal abscesses and preventing complications.