How to perform secondary surgery for perianal abscess

When a perianal abscess requires secondary surgery, it is usually because the residual infection after the initial surgery was not completely removed or the healing was poor. At this time, the core goal of the surgery is to completely remove the infection and promote healing. Choosing the right surgical method is crucial to successful treatment.

Secondary surgeries for perianal abscesses mainly include incision and drainage, fistulectomy or hanging thread therapy. Incision and drainage is suitable for acute abscesses and must be performed under anesthesia to ensure that the pus in the abscess cavity is completely removed. Fistulectomy is for cases of anal fistula combined with abscesses, and recurrence is prevented by fine separation and removal of the fistula. Hanging thread therapy is suitable for fistulas with complex pathways. The fistula is removed by gradually tightening the hanging thread, and multiple adjustments are often required. After surgery, patients should pay attention to wound care to avoid recurrence of infection, such as daily warm water sitz baths, keeping the wound dry, and using antibiotics as prescribed by the doctor. The diet should be light, and fiber intake should be increased to keep bowel movements smooth.

Patients are advised to have regular follow-up checkups after surgery and communicate with their doctors in a timely manner about the progress of healing to avoid complications caused by blind operations. Mental state also needs attention. If psychological pressure is caused by long-term illness, professional psychological support should be sought. During the rehabilitation period, the care and support of family and friends will play a positive role in the psychological recovery of patients. Through comprehensive treatment and psychological counseling, many patients can recover smoothly and return to normal life.