Donatello: переводы

→It results in the drainage of pus.

→A drain is placed for 24–48 h.

→Subsequent incisions are given over the most medial parts of the horseshoe abscesses, and the pus is drained.

→11.20 A Word About Retrorectal Abscess

→If a high intramuscular abscess is left unattended, it may rupture the longitudinal muscle above the level of puborectalis and form a retrorectal abscess [16].

→11.20.1 Management

Pass a probe from the internal opening into the retrorectal abscess.

→Internal sphincterotomy over the probe is done, thus preventing fistula forma- tion [16].

→The abscess cavity is drained.

→11.17.1 Management of Deep Anterior Abscess

• In males, manage the deep anterior space abscess by anterior fistulotomy.

→• In females, avoid the anterior fistulotomy as it may lead to incontinence.

→As described by Hanley, a staged procedure is a better option [16].

→The abscess is drained, and a rubber band seton is placed.

→The seton can be tight- ened every 3–4 weeks (Fig.
11.16a, b).

→Fig.11.16 (a) Anterior fistula in female.

→(b) Diagrammatic representation of deep anterior abscess drainage.

→Placement of seton in between subcutaneous and superficial part of external anal sphincter

→11.18 Superficial Postanal Space Abscess

→The abscess is managed in the same way as a perianal abscess.

→11.19 Horseshoe Abscess

→Horseshoe abscess can be anterior or posterior, occurring below the anorectal ring [25].