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
Getting Rid Of Warts Forever

Getting Rid Of Warts Forever

All wart sufferers, this is the day to stop the shame. How I Got Rid Of My Warts Forever and How You Can Get Rid Of Warts Naturally In 3 Days. With No Blisters, No Scars, And No Pain Without medications or expensive procedures. All by applying a simple, very natural and unbelievable FREE substance that can be found in almost every household.

Get My Free Ebook


Post a comment