Will perianal abscess recur after surgery?

Although perianal abscess can be treated surgically with relatively good results, there is still a possibility of recurrence even with surgical treatment. If you want to effectively prevent recurrence, you need to pay attention to proper care after the operation, develop good hygiene habits, and prevent constipation.

1. What are the causes of recurrence of perianal abscess after surgery? According to relevant experts, perianal abscess is more common in the form of low-position abscess, which forms a low-position anal fistula after incision. Patients may feel a cord-like object extending from the external opening to the anus around the anus, and this cord is the fistula. Since anal fistula is generally painless, patients are not in a hurry to seek medical treatment. Most of them will seek medical treatment due to reinfection. However, they do not know that the recurrence of perianal abscess after surgery will aggravate the condition, and it may develop from a simple low-position anal fistula to a high-position complex anal fistula, further aggravating the pain of the operation.

2. Surgery is currently the only cure for perianal abscess and anal fistula. The key to a successful operation is to remove the primary internal opening and eliminate the inner end of the tract. If the primary internal opening of perianal abscess is treated together during surgery, anal fistula will not be formed. Recurrence of perianal abscess after surgery says that anal canal and rectal abscesses generally cannot heal on their own. If allowed to develop, the abscess will eventually rupture into the perianal skin or the anorectal cavity to form anal fistula. If the pus is drained, the symptoms can be temporarily relieved, and then the ulcer can heal. The pus continues to accumulate again, and the infection continues to spread to the surrounding area, symptoms will reappear, and new abscesses may appear, and multiple ulcers will be formed. The symptoms will recur repeatedly and will not heal for a long time.

3. If the disease recurs, you can consider another surgery, and pay attention to rehabilitation care and active prevention after the operation. In the early stage, anti-infection treatment can be used (including <key ingredients omitted> for aerobic and anaerobic bacteria, Chinese medicine for clearing away heat and detoxifying, purging and promoting circulation, laxative, hot water sitz bath, physical therapy, rest, etc.). When an abscess forms, it should be drained surgically. Symptomatic supportive treatment. During abscess incision and drainage, if a clear internal opening is found, thread hanging can be performed at the same time. Regular and smooth bowel movements and good hygiene habits are effective preventive measures.