Is it better to have two surgeries or one radical cure for perianal abscess?

Perianal abscess usually responds better to a one-time radical surgery, which can reduce the risk of recurrence and reduce the pain of subsequent treatment, but the specific situation depends on the patient's condition and surgical plan.

Perianal abscess is a common disease in which purulent infection of tissues around the rectum forms an abscess. A one-time radical surgery usually refers to the removal of the infection source while draining the abscess to avoid the formation of anal fistula. In contrast, a multi-step surgery is to drain the abscess alone first, and then perform a radical surgery after the inflammation subsides or the scope of the infection is clear. This approach is suitable for situations where the infection is extensive, the patient's physical condition is poor, or the acute infection is severe. The advantage of a one-time radical surgery is that the treatment is thorough and the recovery time is shorter, but when the problem is more complicated or the abscess is deeper, the risk of treatment may increase, so the surgical method needs to be determined based on the actual condition. Before surgical treatment, doctors usually use anal ultrasound, nuclear magnetic resonance imaging and other examinations to clarify the scope of the lesion and grasp the timing of the operation.

In order to promote postoperative recovery, patients need to pay attention to maintaining cleanliness after defecation, take a warm water sitz bath every day to reduce the risk of bacterial invasion; adjust the diet reasonably, consume more foods rich in dietary fiber such as oats and green leafy vegetables, relieve constipation, and avoid secondary stimulation of the affected area. It is crucial to quit smoking and reduce local blood circulation obstruction. If anal pain, persistent pus discharge or new abscesses occur, you should return for a follow-up visit as soon as possible. Regardless of the surgical method chosen, close cooperation with the attending physician during the treatment process is particularly important. Although perianal abscess is a common disease, if it is not treated in time, it may lead to more serious complications and affect the quality of life. Early treatment and careful care are the basis for restoring health.