Is hanging thread for perianal abscess a radical cure?

Perianal abscess hanging thread surgery is not an absolute radical cure, but it plays an important role in the treatment of complex perianal abscesses and can effectively relieve the lesions of abscesses and fistulas. If patients want to completely cure the disease, they need to choose a more comprehensive treatment plan according to the specific circumstances of the disease, such as incision and drainage, fistula resection, etc., and combine reasonable care to reduce the risk of recurrence.

1. Causes and disease mechanisms of perianal abscess

Perianal abscess is a localized abscess formed by infection in the soft tissue around the rectum, mainly caused by rectal gland infection, bacterial invasion, etc. Common causes include:

-Infection: Anal gland infection and blockage are the main causes. Bacteria invade the glands or surrounding tissues, causing inflammation and abscesses.

-External stimulation: Frequent diarrhea, constipation, and poor eating habits may aggravate perianal trauma and provide conditions for the formation of abscesses.

- Weakened immunity: Patients with diabetes or AIDS are more susceptible to infection, increasing the risk of abscesses.

For mild patients, symptoms may be relieved through local drainage and antibiotic treatment; however, when it develops into a complicated abscess, it may cause anal fistula and require surgical treatment.

2. Is the thread hanging technique a radical procedure?

Thread hanging is often used to treat complex perianal abscesses and high anal fistulas, but it is not a direct cure for the abscess, but a surgical method for gradual drainage and removal of the fistula:

-Principle of the hanging wire technique: By passing the medical wire around both ends of the fistula, the drainage is gradually tightened to support tissue healing and avoid damage to the anal sphincter function.

- Applicable conditions: Suitable for patients with complex high-position anal fistulas. If the fistulas are numerous or too deep, the lesions can be removed in stages through the hanging thread technique.

-Limitations: If the local treatment is inappropriate or the care is poor, there is still a risk of fistula failure or recurrent infection.

Seton placement is often combined with other treatments, such as secondary fistulectomy, to improve the completeness of treatment.

3. Other treatment options

The treatment of perianal abscess requires a comprehensive assessment of the extent of the lesion, location, and patient constitution, and the following options are available:

-Drug treatment: If the abscess is small, oral antibiotics such as penicillin and cephalosporin can be taken in the early stage to relieve inflammation, but drug treatment is usually limited in effect and needs to be combined with surgery.

-Incision and drainage: Suitable for simple perianal abscesses, the pus is directly discharged through the incision. Regular dressing changes are required after the operation to promote healing.

- Fistulectomy: For patients with fistula, complete fistula removal is performed after the infection is controlled to prevent recurrence due to poor healing.

4. Daily care and prevention

Scientific care after surgical treatment can help prevent recurrence of abscesses or fistulas:

-Dietary adjustment: Eat more high-fiber foods, such as dark green vegetables and fruits, avoid irritating foods such as alcohol and chili peppers, and maintain smooth bowel movements.

- Hygiene management: After surgery, the anal area needs to be cleaned and the dressings changed daily to keep the area dry and hygienic to prevent secondary infection.

-Life routine: Exercise appropriately to enhance immunity and avoid sitting for long periods of time to increase perianal pressure.

Recurrence of perianal lesions can be effectively prevented by improving lifestyle and maintaining good hygiene habits.

5. Warm reminder

Although the thread hanging technique is very effective in treating complicated perianal abscesses, it cannot guarantee permanent eradication. Patients need to strictly follow the doctor's advice during the recovery process and have regular follow-up visits to observe their condition. If you experience postoperative discomfort or recurrence symptoms, do not ignore them and seek medical attention in a timely manner. In the face of the disease, a scientific attitude towards treatment is particularly important. Choosing the right treatment plan can not only relieve pain, but also effectively improve the quality of life.