Is surgery still necessary if the perianal abscess ruptures and discharges pus?

After the perianal abscess ruptures and pus is discharged, surgical treatment is still required, because rupture is only the process of pus being discharged from the body, and it cannot solve the potential risk of infection or fistula formation at the lesion site. If surgical treatment is not performed, the inflammation of the abscess may spread further and even cause complications such as anal fistula. Common treatments include thorough drainage of the abscess cavity, incision surgery to clean the infected area, and follow-up treatment for individual severe cases. The following is a detailed analysis of the specific causes and treatment plans.

1. After rupture, there are still infected lesions, which need to be further removed

Although the pus will flow out after the abscess ruptures and the local pain may be relieved, the core focus of infection still exists. If the pus, necrotic tissue or diseased tissue in the abscess cavity is not cleaned up in time, the infection may continue to worsen and lead to recurrence.

- Treatment recommendations:

1. Thorough surgical drainage: Doctors usually perform surgical drainage after ulceration to completely remove the residual pus in the abscess cavity. Traditional surgery or minimally invasive surgery (such as Parks incision and drainage) are commonly used methods.

2. Resection of diseased tissue: If the abscess cavity wall or surrounding tissue has been diseased, a small area of ​​necrotic tissue will be removed during surgery to reduce the chance of recurrence.

3. Anti-infection treatment: Antibiotics are required after surgery to avoid secondary infection. The specific choice depends on the type of pathogen and individual situation.

2. High risk of anal fistula formation requires vigilance

If perianal abscess is not treated thoroughly, the infection may penetrate the tissue and form a fistula connecting the rectum or skin, resulting in anal fistula. Once anal fistula is formed, it not only affects the quality of life, but also requires more complicated treatment.

- Treatment recommendations:

1. Fistula clearance surgery: If a fistula is found, the lesion needs to be removed as soon as possible. Thread hanging therapy or fistula incision can be selected.

2. Laser-assisted treatment: Some hospitals use laser closure therapy, which is less invasive and suitable for the treatment of small fistulas.

3. Follow-up care: Cooperate with regular dressing changes and examinations after surgery to promote wound healing.

3. To prevent the development of complications, multi-faceted intervention is required

If surgical treatment is not performed promptly after ulceration and pus discharge, the infection may spread throughout the body and even cause serious complications such as sepsis or tissue necrosis, posing a threat to life safety.

- Treatment recommendations:

1. Local anti-inflammatory: Use normal saline to clean the affected area to prevent further infection.

2. Enhance immunity: Supplement appropriate amounts of vitamin C, zinc and other trace elements to promote wound healing.

3. Dietary adjustment: Avoid spicy and irritating foods, and eat more foods rich in dietary fiber (such as bananas and sweet potatoes) to improve bowel movements.

4. Postoperative recovery is equally important

Surgery is only the first step in treatment. Subsequent care and rehabilitation directly affect the overall efficacy and require special attention.

- Care recommendations:

1. Change the dressing regularly: Change the dressing under the guidance of a professional doctor, keep the affected area clean and dry, and use appropriate disinfectants.

2. Intestinal regulation: After surgery, insist on eating high-fiber foods and drinking plenty of water to prevent constipation from increasing wound pressure.

3. Exercise moderately: avoid sitting for long periods of time which may cause local compression, and perform appropriate and gentle activities to promote blood circulation.

Although the perianal abscess has ruptured and pus is flowing, it does not mean that it is cured. Surgical treatment is still the key choice to avoid recurrence and complications. Timely medical treatment, clear diagnosis, and cooperation with doctors to complete complete treatment and postoperative rehabilitation management can maximize health protection. Regardless of the severity of the disease, patients should maintain a good attitude, keep communicating with doctors, and get rid of the pain as soon as possible. Through scientific and reasonable intervention and physical adjustment, every patient can return to normal life.