How to drain perianal abscess

Perianal abscesses require surgical drainage or spontaneous rupture drainage to remove the accumulated pus, which is the key method for treating the disease. Common drainage methods include incision and drainage, dotted line incision drainage, and drug-assisted treatment. Perianal abscesses are an infectious disease that requires timely treatment. Early intervention can alleviate symptoms and prevent complications.

1) Choice of surgical method

The most commonly used drainage method is incision and drainage, which is to make an incision at the abscess site under local or general anesthesia to drain the pus from the body to reduce pain and the risk of infection spread. For more superficial abscesses, direct incision can be made around the anus; while deep abscesses may need to be located by an anoscope and then incised. Some require dotted incision drainage, that is, keeping the wound open to allow pus to continue to drain and avoid accumulation and recurrence.

2) Medication-assisted treatment

After drainage surgery, medication is often used to speed up recovery. Broad-spectrum antibiotics (such as amoxicillin combined with clavulanic acid) can help control infection; anti-inflammatory drugs (such as ibuprofen) can reduce postoperative discomfort. After surgery, the doctor may recommend local hot compresses to improve drainage and blood circulation.

3) Home care cooperation effect

Postoperative care is important for recovery. Daily dressing changes and keeping the wound clean and dry can reduce the risk of secondary infection. Taking a sitz bath (warm water bath) can help relieve discomfort around the anus and promote wound healing. Postoperative diet is recommended to be high in fiber and easily digestible (such as oats, vegetables, and fruits), which can help prevent constipation and reduce perianal pressure.

Timely diagnosis and treatment and persistent postoperative care are the key to treating perianal abscesses. Once perianal swelling, pain or pus discharge is found, medical attention should be sought immediately to avoid delaying treatment and causing the infection to spread or turn into anal fistula. With professional treatment and good care, most people can achieve good recovery results.