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Perianal Abscess
Discussion in 'All Categories' started by Sumer Singh - Apr 17th, 2016 11:11 am.
Sumer Singh
Sumer Singh
Dear sir,
I am suffering from parianal abscess from 3 months. Parianal abscess
was diagnos by MRI report. First MRI told about huge collection of
abscess in right side root of penis. Second MRI told parianal abscess
with open fistula tract. On 1 April I went to ahmedabad and operated
perianal abscess. Dr make internal and external surgery for remove
abscess. He make a hole bottom of secroterm and it is open. I continue
dressing this part after surgery. Dr told me that he operating my
fistula trac after two months. But presently daily I have discharge of
1. Do you have any solution for me.
2. Do you have any latest surgery facility like VAAFT etc.
3. Tell me the VAAFT surgery cost (Approximate).
Here I am enclosing Two MRI reports.
Please give me reply as soon as possible.
re: Perianal Abscess by Dr R K Mishra - Apr 18th, 2016 4:18 pm
Dr R K Mishra
Dr R K Mishra
Dear Mr Singh

Fistula takes time to heal. An anal abscess is an infected cavity filled with pus found near the anus or rectum. Ninety percent of abscesses are the result of an acute infection in the internal glands of the anus. Occasionally, bacteria, fecal material or foreign matter can clog an anal gland and tunnel into the tissue around the anus or rectum, where it may then collect in a cavity called an abscess.

It should be kept in mind up to 50% of the time after an abscess has been drained, fistula may persist, connecting the infected anal gland to the external skin. This typically will involve some type of drainage from the external opening. If the opening on the skin heals when a fistula is present, a recurrent abscess may develop. Until the fistula is eliminated, intervening periods of apparent healing.

At present you should keep the dressing ON. Once the abscess is healed VAAFT can be done. Video-assisted anal fistula treatment (VAAFT) is a good minimally invasive technique for treating complex fistulas. Key steps are visualization of the fistula tract using the fistuloscope, correct localization of the internal fistula opening under direct vision, endoscopic treatment of the fistula and closure of the internal opening using a stapler. Diagnostic fistuloscopy under irrigation is followed by an operative phase of fulguration of the fistula tract, closure of the internal opening and suture reinforcement with fibrin glue.

With regard

Dr R K Mishra

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