Modified incision line treatment of perianal abscess Clinical analysis of 97 cases.doc

 PAGE \* MERGEFORMAT 7 Modified incision line treatment of perianal abscess Clinical analysis of 97 cases [Keywords:], abscess [Keywords:] abscess, perianal; incision line operation, improvement; low-cut hanging surgery An object and method 1.1 Object 1992/2004 a complete record of cases selected 143 cases of male patients, aged 19 to 79 years old, of which 125 cases of ischial rectal fossa abscess, pelvic abscess in 18 cases of rectal fossa. For these 41 cases of ischial rectal fossa abscess, and five cases of pelvic rectal fossa abscess in patients with low-cut hanging type, 84 cases of right ischial rectal fossa rectal abscess and 13 cases of pelvic abscess nest of our own design using improved surgical incision line. 1.2 Methods Improved surgical procedure incision line technique: ① surgery the night before last the whole flow of food, fasting morning surgery, conventional cleansing enema. ② surgery with sacral anesthesia or epidural anesthesia. ③ routine disinfection perianal skin and anal canal, rectum ends mucosa, and shop sterile towel. ④ In the abscess site from outside the anal margin of 1.0 ~ 1.5 cm radial incision to the skin, subcutaneous tissue and superficial external sphincter. ⑤ clamps from the outside with large sphincter lateral blunt separated into the abscess cavity, and with the index finger extended into the abscess cavity open all Vomica intervals, so that complete drainage of pus clean. ⑥ using curette Saogua Vomica, and use hydrogen peroxide and saline irrigation Vomica. ⑦ clamps would be great with a clean inside sphincter and external sphincter and puborectalis deep blunt separation, the formation of man-made tunnels and at its top and Vomica interlinked. ⑧ exploration within the mouth, including the mouth for about 1.0 cm in diameter longitudinal oval-shaped incision inside the mouth resection mucosa. ⑨ with ‘00 ‘gut the incision inside the mouth mucous membrane and internal sphincter defects formed by the vertical l