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Anorectal abscess (also known as an anal/rectal abscess or perianal/perirectal abscess) is an abscess adjacent to the anus. [1] Most cases of perianal abscesses are sporadic, though there are certain situations which elevate the risk for developing the disease, such as diabetes mellitus , Crohn's disease , chronic corticosteroid treatment and ...
[2] [3] Most people experience some form of anorectal disorder during their lifetime. [4] Primary care physicians can treat most of these disorders, [2] however, high-risk individuals include those with HIV, roughly half of whom need surgery to remedy the disorders. [4] Likelihood of malignancy should also be considered in high risk individuals ...
Lateral internal sphincterotomy is the preferred method of surgery for persons with chronic anal fissures, and is generally used when medical therapy has failed. [1] It is associated with a lower rate of side effects than older techniques such as posterior internal sphincterotomy and anoplasty, [3] and has also been shown to be superior to topical glyceryl trinitrate (GTN 0.2% ointment) in ...
Colorectal surgery is a field in medicine dealing with disorders of the rectum, anus, and colon. [1] The field is also known as proctology , but this term is now used infrequently within medicine and is most often employed to identify practices relating to the anus and rectum in particular.
After the operation, a high-fiber diet with plenty of liquids (approximately two litres per day) is recommended. For most patients, the procedure can be performed in a day-surgery setting [ 6 ] and normal activities can be resumed on average between two and three days post-operatively. [ 7 ]
Complications of the surgery are rare, including pain and infection, which may require implant removal in 5% of cases. The effects of SNS may include increased resting and squeeze anal tone, and improved rectal sensitivity. There is reported reduction of involuntary loss of bowel contents and increased ability to postpone defecation.
Due to the low level of post-operative pain and reduced analgesic use, patients will usually be discharged either the same day or on the day following surgery. Most patients can resume normal activities after a few days when they should be fit for work. The first bowel motion is usually on day two and should not cause any great discomfort.
The symptoms of a perianal hematoma can present over a short period of time. Pain, varying from mild to severe, [ 3 ] will occur as the skin surrounding the rupture expands due to pressure. This pain will usually last even after the blood has clotted, and may continue for two to four days.