Does the thread for perianal abscess need to be tightened?

Whether the thread needs to be tightened after perianal abscess hanging thread surgery depends on the recovery progress and individual differences. Usually the doctor will decide whether to tighten the thread or adjust the treatment strategy based on the wound healing situation, and the patient should not do it on his own.

Perianal abscess is a common purulent infection of soft tissues around the anus. The main cause is bacterial infection of the anal glands, which leads to the formation of abscesses around the anus. Hanging thread therapy is a traditional method for perianal diseases, especially complex anal fistulas. By suturing medical hanging threads in the drainage channel, pus is continuously drained and the wound is gradually healed.

Regarding the issue of tightening the thread after hanging it, the main purpose is to adjust the tightness of the thread so that the thread can gradually cut the infected tissue, while promoting inflammation and wound healing. In some cases, tightening the thread can help further promote the treatment effect, such as patients with deep or wide fistulas, but not everyone absolutely needs it. Tightening the thread will increase the cutting effect of the thread on the tissue, which may cause pain to a certain extent, and the patient needs to be patient; not tightening the thread may delay healing, but the pain is relatively mild.

During the hanging period, patients should pay attention to keeping the wound clean and hygienic, and change the dressing regularly to prevent infection. The diet is recommended to be light and easy to digest, and increase the intake of dietary fiber to avoid constipation. Daily sitz baths can help relieve minor pain and promote local blood circulation. If you feel strong pain, the hanging line is loose, or other discomfort occurs, contact a doctor in time. Do not adjust or apply force without authorization during the hanging period, and follow up the progress of the doctor's treatment plan.

If the patient feels severe pain, slow healing, or fever after tightening the thread, it may indicate a concurrent infection or other problem. In this case, you need to go to the hospital for a follow-up visit immediately to ensure a smooth treatment process. The treatment period of hanging thread varies from person to person, and generally takes several weeks or even longer. Only by patiently cooperating with the treatment can you achieve better recovery results.