Is the recurrence rate of perianal abscess high after surgery?

The recurrence rate of perianal abscess after surgery is not high, but it needs to be evaluated in combination with the patient's physical condition, surgical method, postoperative care and other factors. The general recurrence rate is around 10%-20%. Recurrence is mainly related to failure to completely remove the infection focus, the presence of hidden lesions such as anal fistula, and improper postoperative recovery.

Perianal abscess is a localized purulent inflammation caused by anal gland infection and bacterial invasion. Surgery is currently the most direct and effective treatment. One of the reasons for recurrence is that the source of infection has not been completely eliminated. For example, the pus has not been completely drained during surgery or deep hidden lesions have been missed. Some patients have anal fistulas. If they are not treated at the same time during surgery, it is likely to lay the hidden dangers for recurrence. Individual differences may also affect the recurrence rate. For example, patients with diabetes or people with weakened immune function have poor healing ability and are more susceptible to reinfection.

Choosing the right surgical method, standardized postoperative treatment and good life management can significantly reduce the risk of recurrence. The more common surgeries include incision and drainage, radical abscess removal and anal fistula removal. Some smaller superficial abscesses can be treated with simple incision and drainage, but for larger abscesses or those with complex anal fistulas, radical surgery or further resection may be required. After surgery, patients must strictly follow the doctor's instructions to take a high-concentration saline bath to keep the wound drainage unobstructed; in terms of diet, they should pay attention to taking in sufficient dietary fiber to promote smooth bowel movements and avoid constipation that can aggravate the wound. At the same time, moderate exercise and good hygiene habits can also help wound healing and reduce the risk of infection.

Postoperative follow-up is particularly important. If you find that the wound is healing slowly, the redness, swelling and pain are increasing, or the pus secretion is abnormal, you should see a doctor in time to check for potential problems. For complex cases with anal fistula or high recurrence rate, further imaging examinations or reoperation may be required. Scientific management and active cooperation with doctors' advice can not only help restore health, but also effectively reduce the possibility of recurrence, allowing patients to regain health and a comfortable life.