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What are the surgical methods for perianal abscess?

BY Carol Carey 2019-12-04

  There are many surgical methods for perianal abscess. Patients can choose different surgical methods according to their own disease level and their physical fitness. Now the common surgical methods for perianal abscess surgery are: incision and drainage. Periodotomy, hanging drainage, etc. Some patients only need one operation to achieve the purpose of cure, while some patients need to perform a second operation according to their actual situation.

  Perianal abscess is mainly treated It is mainly based on medical treatment, but for those with severe conditions, surgical treatment is required. Depending on the degree of the perianal abscess, surgery can also be divided into many methods, each of which has certain adaptability. Starting from the actual disease, choose the appropriate surgical method for treatment. So, what are the surgical methods for perianal abscess?
  First, what are the surgical methods for perianal abscess?
  1. Open incision and drainage surgery
   Open incision and drainage for several months An anal fistula may form in the future, requiring a second-stage surgery.
  2. One-stage incision
  One-stage incision is a case where there is an obvious inner mouth, and the position is relatively low. In the mouth, the necrotic tissue in the pus cavity is removed, and the fistula is generally not formed, and no secondary surgery is required.
  3. Threading and drainage
   For some abscesses that are relatively high, we need to suspend the drainage of perianal abscess. After cutting, we will hang the thread while cutting the muscle, This reduces the impact on anal function. There are also some drainage tubes to be rinsed and drained, which may form anal fistula. After it has formed an anal fistula, perform a second operation.
  Second, what are the precautions for perianal abscess?
  1. Wound bleeding
  Perianal abscess is prone to wound bleeding Therefore, to avoid the occurrence of internal bleeding, the postoperative wound is relatively fragile, and it will be accompanied by inflammatory edema. Be sure to tell the patients with perianal abscess to relax, avoid sneezing, and squeeze the wound.
  2. Eating after surgery
  Eating within 2 to 3 days after the perianal abscess surgery Patients should eat liquid and semi-liquid foods as the main diet; they can eat more High protein, low fat food. From the fifth day after the operation, eat more vegetables and fruits to maintain a balanced nutrition.
  3. Postoperative bowel movements
  Nursing staff must avoid the patient’s bowel movements within 3 days after surgery, which is beneficial to wound healing and can accelerate the healing speed. When defecation, patients must pay close attention to whether there is difficulty in defecation; once there is difficulty in defecation, it should be reflected to the doctor in time.

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