Surgical Treatment of Ischiorectal Abscesses and Pelvirectal Abscesses

These lesions are too deep to be treated under local anaesthesia; therefore caudal, loco-regional or general anaesthesia is required. A radial incision is made in the perianal tissue and continued into the ischiorectal space. If the internal opening is clearly identified and if the underlying fistulous tract may be catheterised easily, a seton drainage should be placed. A probe should never be introduced forcefully to avoid creation of a false tract. After gentle curet-tage, the wounds are loosely packed with a mesh dressing for 24-48 h. A perianal fistula with a pelvic abscess extending from the anal canal should never be drained into the rectum as it could result in an extra-sphincteric fistula which is a much more complex problem to treat.

Abscess Seton
Fig. 2. Seton drainage. Superior: introduction of a probe in the fistula tract. Inferior: two nylon stitches 4/0 are tied separately

Was this article helpful?

0 0
Mole Removal

Mole Removal

Moles, warts, and other unsightly irregularities of the skin can be bothersome and even embarrassing. They can be removed naturally... Removing Warts and Moles Naturally! If you have moles, warts, and other skin irregularities that you cannot cover up affecting the way you look, you can have them removed. Doctors can be extremely expensive. Learn the natural ways you can remove these irregularities in the comfort of your own home.

Get My Free Ebook

Post a comment