Incision and drainage

perianal abscess

Operative Technique

Patient supine on lithotomy position/prone on jackknife position under SAB

Asepsis and antisepsis technique

Sterile drapes placed

Inspection done

Findings noted

Incision made over fluctuant mass

Perianal Abscess - Ellipse incision, radially in relation to the anal opening

Ischiorectal Abscess – cruciate incision over inflamed area

Intersphincteric Abscess – with internal sphincterotomy

Pus drained

Cavity of the abscess explored breaking loculations

NSS wash

Necrotic tissues removed

NSS with hydrogen peroxide wash

Hemostasis

OS packing

Drainage of Supralevator Abscess