Key Treatment

About 50% of perirectal abscesses are associated with simultaneous fistula development.

The lack of fluctuance should not delay a timely drainage procedure for perianal abscesses (Whiteford et al., 2005) (SOR: B). Antibiotics are an unnecessary addition to routine incision and drainage of uncomplicated perianal abscesses (Whiteford et al., 2005) (SOR: A ).

Figure 28-17 Classification of perirectal abscesses: i, perianal; 2, ischiorectal; 3, intersphincteric; 4, high intramuscular; and 5, pelvirectal.

(From Hill GJ ii [ed]. Outpatient Surgery, 3rd ed. Philadelphia, Saunders, i988; and Coates WC. Anorectal procedures. in Roberts JR, Hedges JR [eds]. Clinical Procedures in Emergency Medicine, 5th ed. Elsevier, Philadelphia, 20i0.)

Figure 28-17 Classification of perirectal abscesses: i, perianal; 2, ischiorectal; 3, intersphincteric; 4, high intramuscular; and 5, pelvirectal.

(From Hill GJ ii [ed]. Outpatient Surgery, 3rd ed. Philadelphia, Saunders, i988; and Coates WC. Anorectal procedures. in Roberts JR, Hedges JR [eds]. Clinical Procedures in Emergency Medicine, 5th ed. Elsevier, Philadelphia, 20i0.)

Supplements For Diabetics

Supplements For Diabetics

All you need is a proper diet of fresh fruits and vegetables and get plenty of exercise and you'll be fine. Ever heard those words from your doctor? If that's all heshe recommends then you're missing out an important ingredient for health that he's not telling you. Fact is that you can adhere to the strictest diet, watch everything you eat and get the exercise of amarathon runner and still come down with diabetic complications. Diet, exercise and standard drug treatments simply aren't enough to help keep your diabetes under control.

Get My Free Ebook


Post a comment