When the abscess is small, antibiotics alone are enough to treat the infection. However, when the abscess is large, in addition to antibiotics, the infection will need to be drained. Drainage procedure can be done by radiologist who will place a drain small plastic tube into the abscess to drain the pus. The infection can also be drained by the pediatric surgeon in the operating room. The type of procedure that is done will depend on the location of the abscess.
Both types of procedure are done with your child under general anesthesia. After the procedure, your child will be admitted to the hospital for a few days until the infection has resolved. Sometimes, patients are discharged home with drain in the place, which can be removed in the clinic. Perirectal abscess can be associated with fistula. The fistula can be identified on the CT or MRI scan that was used to diagnose the perirectal abscess.
If perirectal abscess or fistula is identified, your child will need to be seen by pediatric gastroenterologist to be evaluated for inflammatory bowel disease. If your child is diagnosed with inflammatory bowel disease, medications will be prescribed to treat the inflammation and allow the fistula to heal. In some occasions, the fistula stays open and continues to cause abscess formation. After this operation, your child can go home the same day or may need to be admitted in the hospital for a few days depending on the extent and how deep the fistula is located.
The Seton can remain in place for few months. When the Seton needs to be removed, removal can be done in clinic. Others are fever, constipation, and trouble urinating. Sometimes, a rectal mass can be felt that is red, hot, tender, and swollen. The health care provider makes a diagnosis from symptoms and doing a physical examination. Blood tests and urine tests may also be done. The main treatment is surgery. People with surface abscesses can be treated as an outpatient with local anesthesia.
Deeper abscesses usually need hospitalization. A general surgeon or surgeon who specializes in diseases of the colon and rectum does the operation. An abscess is a pocket of infection creating pus. It is very painful. Infection can set in. Most abscesses get better when the pus can drain out. Antibiotics are often not enough to cure an abscess. These can be extremely painful given their sensitive location that the abscess can form.
The board certified surgeons at Central Carolina Surgery specialize in diagnosing and treating perirectal abscess in Greensboro, NC. Learn about perirectal abscesses, the types of surgeries available, and call Central Carolina Surgery today at This varies from patient to patient. Most patients feel relief from a painful abscess almost immediately.
Many patients return to desk type work the next day. You will probably have lifting restrictions for at least 48 hours. It is rare for patients to need extended time off of work. While recovery instructions may be tailored to individualize a plan of care based upon your specific needs, these instructions are common following abscess drainage and anal fistulotomy surgery:.
For additional information for after surgery preparation click here. Get A Procedure Quote. Toggle navigation. Peri-Rectal Abscess and Anal Fistula Treatment A peri-rectal abscess is an infected boil-like swollen pocket filled with pus found near the anus or rectum. Indications: A peri-rectal abscess is an infection and should not go without treatment. Pre-Op Evaluation and Prep: Patients will have a physical exam by the surgeon to discuss symptoms and determine if surgery is needed.
Procedures: Incision and Drainage of Peri-Rectal Abscess: A surgical incision and drainage is the most common treatment for all types of anal abscesses and is usually successful. Recovery: This varies from patient to patient. While recovery instructions may be tailored to individualize a plan of care based upon your specific needs, these instructions are common following abscess drainage and anal fistulotomy surgery: You will need to arrange for a ride home the day of your surgery and we recommend someone stay with you for the first 24 hours at home.
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