Perianal abscess is a suppurative infection of the anorectum. However, many people do not have a thorough understanding of perianal abscesses and often regard perianal abscesses as "fire boils" or hemorrhoids. Some patients even do not know the cause until the perianal abscess develops into anal fistula.

Perianal abscess is an acute and serious disease in the anorectal department and requires timely treatment. Only a few patients with perianal abscess can be dissipated with antibiotics, hot water sitz baths and local physical therapy, but most require surgical treatment. , there are two methods of perianal abscess surgery:

1. Treatment of simple perianal abscess

It can be done in lithotomy position or side lying, with local anesthesia or spinal anesthesia. Make a radial incision at the abscess site, and after draining the pus, insert your index finger to explore the size of the abscess cavity and separate its intervals. If necessary, make a small incision on the edge of the incision to facilitate drainage, and finally put a Vaseline gauze strip into the abscess cavity for drainage.

2. Treatment of perianal abscess connected with anal fistula

After incising the abscess, carefully check the internal opening with a probe, then incise the fistula, and appropriately remove the skin and subcutaneous tissue The tissue and the tissue around the inner mouth are also slightly removed to make drainage smooth. If the internal opening is deep and the fistula passes through the anal sphincter, seton therapy can be used. The advantage of the above surgery is that the abscess can be cured in one stage and no anal fistula will be formed. However, in acute inflammation, when it is difficult to find the internal opening, you should not search blindly to avoid the spread of inflammation or the formation of a false channel. Only incision and pus drainage are performed, and anal fistula surgery is performed after an anal fistula is formed. The advantages of second-stage surgery are accurate results and high cure rate.

Once a deep abscess is formed, the internal pressure gradually increases. At this time, early surgery is required. Not only can the abscess cavity heal early and prevent its spread, but it is also less likely to form an anal fistula. Even if an anal fistula forms, it is easier to treat. . Therefore, deep perianal abscesses require early surgery.

It is recommended that you go to the anorectal department or surgery of a local regular hospital for timely treatment.