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Related Concept Videos

Assessment of the Rectum and Anus01:25

Assessment of the Rectum and Anus

Evaluating the rectum and anus plays a crucial role in conducting a thorough physical examination of the gastrointestinal system. Although it may be uncomfortable and often embarrassing for the patient, it holds immense diagnostic value, particularly in detecting gastrointestinal diseases and abnormalities. This guide will explain how to perform this assessment using inspection and palpation methods.
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...
Brain Abscess l: Introduction01:26

Brain Abscess l: Introduction

A brain abscess is a focal, intracerebral infection characterized by a localized collection of pus within the brain parenchyma, resulting from microbial invasion and the body’s inflammatory response. It progresses through stages: early and late cerebritis, followed by early and late capsule formation, reflecting tissue destruction, immune response, and eventual encapsulation.Etiology and PathogenesisCausative organisms vary with source and host factors, often involving polymicrobial infections,...
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Aneurysm IV: Nursing Management01:22

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Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy01:26

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy

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Related Experiment Video

Updated: May 24, 2026

Posterior Approach for Debridement of the Psoas Abscess
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Posterior Approach for Debridement of the Psoas Abscess

Published on: March 2, 2020

German S3 guideline: anal abscess.

Andreas Ommer1, Alexander Herold, Eugen Berg

  • 1End-und Dickdarmpraxis Essen, Rüttenscheider Strasse 66, 45130, Essen, Germany. aommer@online.de

International Journal of Colorectal Disease
|February 25, 2012
PubMed
Summary

Anal abscesses are common, particularly in young men, and require surgical drainage. This guideline details diagnosis and treatment, emphasizing symptom-driven emergency intervention and careful surgical technique to minimize recurrence.

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Last Updated: May 24, 2026

Posterior Approach for Debridement of the Psoas Abscess
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Area of Science:

  • Colorectal Surgery
  • Gastroenterology
  • Infectious Diseases

Background:

  • Anal abscesses are a common condition, with a high incidence particularly noted in young men.
  • The condition often originates in the proctodeal glands within the intersphincteric space.

Purpose of the Study:

  • To provide comprehensive clinical guidelines for the diagnosis and treatment of anal abscesses.
  • To establish standardized protocols for managing this condition in Germany.

Main Methods:

  • A systematic review of existing medical literature was conducted.
  • Clinical examination and patient history are primary diagnostic tools.
  • Further imaging like endosonography or MRI may be used for recurrent or complex cases.

Main Results:

  • Surgical drainage is the primary treatment for anal abscesses, with surgical approach tailored to abscess location.
  • The goal of surgery is thorough infection drainage while preserving sphincter function.
  • Antibiotics are generally not required, and routine fistula detection during surgery is not recommended.

Conclusions:

  • This S3 guideline offers the first standardized instructions for anal abscess diagnosis and treatment in Germany.
  • Effective management involves prompt surgical intervention based on symptoms and careful surgical technique.
  • Low overall risk of recurrence or fistula formation exists if drainage is adequate; primary fistulotomy is reserved for specific cases.