Tuesday, December 23, 2014

ANO RECTAL ABCESSES


 ANORECTAL ABSCESSES AND FISTULAS

These are serious manifestations of anal infection.

*  Infected material collects in the anal crypts and invades  the
   glands.

*  A  superficial  invasion  of  tissue  adjacent  to  the  crypt
   produces a simple perianal abscess.

*  Infection,  however,  may penetrate the  sphincters  into  the
   ischiorectal fossa giving rise to ischio-rectal abscess.

*  Submucosa  or intramural abscess may open internally and  heal
   spontaneously.

*  However, if they open externally in the perianal region,  they
   lead to formation of a fistulous tract (Fistula-in-ano).

DRAINAGE OF ABSCESS

Simple incision will not provide drainage.  Cruciate incision  of
the abscess is preferred.

Digital exploration of the cavity to break up trabaeculations  is
required.   Drainage  of the cavity and frequent  dressings  give
good results.

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