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A simple method for the management of anorectal abscess
1Department of Surgery, Wellington School of Medicine, New Zealand.
The Australian and New Zealand Journal of Surgery
|October 1, 1987
Summary
Simple Pezzer drainage effectively treats anorectal abscesses, offering a safe and reliable method with minimal hospitalization and quick return to work. This surgical approach is well-tolerated by patients.
Area of Science:
- Surgery
- Gastroenterology
- Infectious Diseases
Background:
- Anorectal abscesses are common surgical presentations.
- Effective and minimally invasive drainage techniques are crucial for patient recovery.
- Previous management strategies may involve general anesthesia and prolonged hospitalization.
Purpose of the Study:
- To evaluate the efficacy and patient tolerance of simple de Pezzer drainage for anorectal abscesses.
- To assess the outcomes of this technique regarding pain, hospitalization, and return to work.
Main Methods:
- A retrospective review of 91 patients with anorectal abscesses managed with simple de Pezzer drainage.
- Catheters (3-5 mm) inserted under local anesthesia whenever possible.
- Data collected on patient demographics, abscess type, anesthesia requirements, pain, complications, and recovery time.
Main Results:
- 76 perianal abscesses were treated; 18 required general anesthesia.
- Most patients (75/91) had no prior history of anorectal sepsis.
- Catheter removal occurred within 15 days for 62 patients.
- 35 patients returned to normal activities within 5 days; 68 within 14 days.
- 22 patients developed fistulae post-drainage.
Conclusions:
- Simple de Pezzer drainage is a safe, reliable, and well-tolerated method for anorectal abscess management.
- The technique leads to minimal hospitalization and facilitates an early return to work.
- Further monitoring for fistula development is warranted.