In the cold season, the incidence of perianal abscesses will suddenly increase. In autumn and winter every year, about 10-15% of hospitalized patients suffer from this disease. This disease has a characteristic, rapid onset, rapid development, and great pain. For example, hemorrhoids are chronic diseases, and it doesn’t matter if they take a year or a half after discovery. The perianal abscess is different. Once it occurs, it is very painful. In just two or three days, the anus first becomes painful and then swells up, making people restless. Soon, the inflammatory mass will cause fever, which can even develop into a high fever within a short period of time. These are very painful and will rush to the hospital.
Surgery can be cured, conservative treatment is easy to relapse
Perianal abscess cannot be prevented, and once it occurs, it is acute. In clinical practice, infusion is mostly used to eliminate inflammation first. I have met many patients who said, can they be treated conservatively? Infusion, medication, and injections are fine. Dear readers, I am sorry to tell you that most cases of perianal abscess can only be cured by surgery. Once the pus is formed, it is difficult to completely eliminate it by infusion.
Traditional treatment requires two operations
The traditional treatment of perianal abscess requires two operations. The first time is "abscess incision and drainage", which is to cut a small incision into the perianal abscess to drain the pus out. Once the inflammation is controlled, symptoms such as fever and pain will be relieved or even eliminated.
Many people think that this is all right. actually not. The infected internal ostium at the end of the rectum still exists, so the abscess may not be completely healed, and pus will still flow out. Moreover, neither dressing changes nor sitz baths solve the problem. You will find that there is ulceration and discharge of pus at the surgical incision, especially after drinking and eating peppers, the attacks are more frequent. In case of acute infection, local abscesses and pain will be unbearable. Since pus often flows out of the incision, over time, the abscess cavity slowly shrinks to the middle to form something like a pipe, which is a "fistula". During the re-examination, the doctor can feel a harder, pipe-like thing through digital examination. This forms a complete anal fistula, which also means that a second operation is needed-anal fistula incision and radical resection.
Now advocate a radical cure to reduce pain
Nowadays, in order to prevent patients from undergoing two operations and shorten the treatment process, the medical profession advocates "one-time radical cure." In the first operation, the primary internal ostium of the perianal abscess is accurately found, and radical treatment is performed directly to avoid secondary anal fistula.
So, why two surgeries were used in the past? In the past, the technology and experience were limited, and it was difficult to accurately find the internal mouth during the acute attack. There are many gaps around the anus, and abscesses may occur in each gap. From the point of simple point of view, there are deep and shallow (closer to the anal opening); deep posterior anus abscess, posterior rectal interstitial pus, etc. It is quite difficult to find all the inflammations accurately and accurately. Once a mistake or omission is found, it means that a second operation is required. After the formation of anal fistula, the internal mouth is more typical and easy to accurately distinguish. Therefore, in the past, the medical profession was more inclined to open up and cure the anal fistula after a few months.
After accumulating a lot of experience and having advanced and accurate equipment to assist, it is possible to accurately find the internal opening in the early stage of the abscess. One-time radical surgery does not take too long. Depending on the condition of the disease, it can be completed in just over 20 minutes or more than an hour. After that, you need to be hospitalized for a dressing change for about 3 days to a week. It not only shortens the treatment cycle, but also prevents the patient from suffering from two operations. It is a good way to humanize it.