Anorectal Emergencies: Perianal Abscess
Aybala Yildiz, Alp Yildiz, Veysel Baris Turhan, Engin Kucukdiler and Erkan Karacan.
Journal Title:Acta Scientific Microbiology
Anorectal emergencies refer to anorectal disorders presenting with some alarming symptoms such as acute anal pain and bleed-ing which might require an immediate management. Emergencies such as acutely thrombosed external hemorrhoid, thrombosed or strangulated internal hemorrhoid, bleeding hemorrhoid, bleeding anorectal varices, anal fissure, irreducible or strangulated rectal prolapse, anorectal abscess, perineal necrotizing fasciitis (Fournier gangrene), retained anorectal foreign bodies and obstructing rec-tal cancer. In this study we present our ambulatory management of perianal abscess. Fifty-two consecutive cases included this study. The patients admitted to outpatient clinic with anal pain, lump and/or purulent leak. All patients has diagnosed perianal abscess with physical examination. Patients has transferred the ambulatory surgery department for drainage. All abscesses drained at the bedside. Postoperative 1 patient admitted emergency service with anal pain which controlled NSAID injection. 1 patient presented with recurrent anal abscess on 8th postoperative day. No intra/postoperative bleeding/need for secondary powder application or postoperative anal incontinence detected. The main management of perianal abscess is surgical drainage. We present our series of perianal abscess treated with abscess drainage as day-care surgery with review of literature