Donatello: переводы

→Most important is to ascertain the site of an abscess.

→In this case of a horseshoe abscess, the pathway of spread was from the posterior midline crypt.

→As discussed earlier, no sur- gical procedure is complete without opening the deep postanal space.

→The infective process will not eradicate if the deep postanal abscess is not drained.

→Mrs X, a middle-aged woman, came with a complaint of pain in the anal region for 1 month.

→The pain was more during and after defecation, sometimes coming on half an hour after defeca- tion.

→She also complained of bright red bleeding and burning after defecation.

→So much so that even the water she used to clean the area caused pain and burning.

→There was no history of pus discharge.

→On examination, a minor swelling near the anal region was present.

→A nontender swelling in the right ischiorectal area could be palpated.

→No signs of inflammation were evi- dent.

→There was a mild increase in the anal tone on digital rectal examination.

→At the 6 o’clock position, an internal opening and some boggi- ness towards the 9 o’clock position could be made out.

→She was referred for an MRI, which suggested an ischiorectal abscess traversing posterior-superiorly toward the midline, cross- ing the external and internal sphincter and the internal opening at 6 o’clock.

→The tract measured 6 cm in length.

→She was taken up for surgery after adminis-
trating spinal anesthesia.

→A needle was inserted into the abscess cavity, and 1 mL of pus was aspi- rated.

→Methylene blue and hydrogen peroxide were injected into the abscess, and bubbles were seen coming out of the internal opening.

→An inci- sion was made on the abscess’s most medial mar- gin, and the pus was drained.