Peripheral abscesses are severe inflammations that rapidly spread to the area around the anus. They are almost always associated with injury to the last centimeter of the rectum that allows fecal contents to escape from the intestinal lumen to the surrounding tissues ending up in the skin of the perianal area. If the patient comes to the surgeon immediately with the first discomfort in the area (mainly the pain) there is a case with the use of a double regimen of intravenous or oral antibiotics, to overcome the crisis and to be treated even temporarily. However, if it reaches an advanced stage, then it must be immediately subjected to a short surgery in order to open the collection, drain the pus and thoroughly rinse the abscess cavity.
The operation is usually performed under dorsal or general anesthesia. Local anesthesia is recommended for people who are very resistant to pain. In the days immediately following the opening-drainage of the abscess, the patient feels a noticeable improvement but the problem does not end there …… This is because it is common for the abscess to heal to form a fistula, the so-called peripheral fistula. Peripheral fistula is an intestinal-dermal fistula which in the second year must be properly investigated and surgically removed under a planned basis. This operation is performed under dorsal or general anesthesia. Only by removing the fistula does the patient get rid of the problem. Method safe and long-tested.
Recently, the use of lasers to remove the fistula has been presented on the internet. The long-term results of the method are and will remain unknown for several years due to the short time use of the method. Whatever method the patient decides to have surgery, he is discharged the same day from the clinic with instructions for home.
Contact your trusted general surgeon doctor for more information.