How to treat perianal abscess? This is the best way to treat perianal abscess

How to treat perianal abscess?

1. Subcutaneous abscesses around the anus are common, and more often they are caused by the anal sphincter below the external anal sphincter to the outside or directly infected from the outside. For various types of perianal abscesses, the principles of treatment are generally the same, that is, it is important to cut off and drain in time, and ensure smooth drainage, as well as anti-inflammatory treatment measures throughout the process.

2. The only difference is the choice of incision, drainage method and anti-inflammatory drugs. Subcutaneous abscesses around the anus can be treated with simple incision, and rectal submucosal abscesses can be treated with longitudinal incisions directly on the intestinal mucosa and pus drainage. The treatment of pelvic rectal fossa abscesses, ischiorectal fossa abscesses, and retrorectal abscesses is relatively complicated.

When treating perianal abscess, it is generally believed that the following points should be paid attention to:

1. The incision must be accurate. If necessary, puncture and drainage can be performed first, and then the incision site should be selected.

2. After the superficial abscess is incised and drained, the abscess cavity should be directly opened and squeezed around the abscess cavity to drain the pus as much as possible. For deep abscesses, a straight incision should be made to avoid damage to the anal sphincter. After the incision, the hemostatic forceps or butterfly probe should be used for flushing and separation, and the abscess cavity should be drained.

3. Drainage should be thorough. After the abscess is incised, the abscess cavity should be explored with fingers, especially for horseshoe-shaped abscesses. The fiber septa in the abscess cavity should be separated to facilitate drainage. For subcutaneous abscesses around the anus, vaseline gauze or rubber sheets can be used as drainage materials, while rubber tubes or cigarette drainage strips must be used for the drainage of deep abscesses.

4. The choice of anti-inflammatory drugs greatly affects the success of treatment. During the acute infection period of perianal abscess and the early period after surgery, antibiotics should be used in sufficient quantities and throughout the entire course. Broad-spectrum antibiotics can be used, or penicillin, metronidazole, gentamicin, etc. can be used in combination.

5. During the operation, the primary infectious internal opening should be explored with a probe. Methylene blue can be used to display the location of the internal opening when necessary. Opening the primary internal opening of the anal sinus can often prevent the formation of anal fistula, thereby achieving the primary surgical treatment effect of perianal abscess.