Operation of rectal abscess - Ars Medica Laserclinic

Rectal abscess is an infection caused by pyogenic bacteria and can start from the glands of anus but also rarely from the surrounding skin of the anus. Inflame can further spread into connective tissues under skin, causing red intumescence, pain and fever and so it develops into abscess containing foul-smelling sanies. If it is not treated it can open up towards skin surface or can grow into rectum. The improper hygienic circumstances, diabetes, immune-defective stages and rectal injuries can support evolution of such illness. If operation is not performed, rectal abscesses can cause life endangering situation, general sepsis.

At the beginning it may be recessed by damp bandage, "sitz" bath. Once the mattery occurred, operation has to be performed. Fever, shivering, pain, increase of redness of the area are signs of beginning of mattery and in this case urgent operation is to be carried out. Wound is treated unclosed; next to disclosure bandage is regularly re-dressed. Due to stage of inflame antibiotic defence is given to patients. 70 % of the surgically incised abscess recovers without complications but in 30% of the opened abscess a canal (fistula) remains between the wound and the cavity of the rectum and the steady defluxion discharge makes patients' lives tremendously uncomfortable by discolouring their underwear.

During the examination, performed by a surgeon, the size and location of abscess is determined. Then comes the rectoscopy during such examination the lower app. 15-18-cm-long part of the rectum is observed in order to eliminate other inflamed tumorous illnesses and so this is also biopsy at the same time. If for pain the rectoscopy cannot be performed it is not forced but delayed after recovery. Afterwards the examining doctor gives detailed information for the patient on its state and recommended treatment. Considering the extremely painful inflamed area this operation is cannot be carried out in local anesthesia, only in general anesthesia.One-day-surgery is mentioned here as a special way of treatment together with all the required lab tests and other further exams to be carried out, the anesthesia types, possible complications, home care to-dos, phases of recovery, may occurring problems during recovery, so in a word all and every information that are necessary for the patient to make a decision on the way of treatment and/or surgery. The provided fully detailed oral information is certified by patients with their signature in their own information minute.

"One day surgery" means, that patients can leave the outpatient center on their own feet, accompanied by a helper, within 24 hours of surgery (usually after few hours of observation), and continue the healing process in the familiar confines of their own home. "One day surgery" requires strict professional, social, and various other preconditions that are discussed at the stage of the consultation when the need for surgery becomes clear. (I.e.: good general health, absence of serious systemic disease, patient must take responsibility for arrangement of transportation, home care, must have phone to contact the clinic or the surgeon if necessary, etc).

At the booked operative time patients must bring their lab tests, slippers, night-suit. Before placed into sick-room a "STATEMENT" is to be signed in order to entitle our clinic for the performance of the procedure. Besides patients have to undertake home wound care.

Considering that operation is performed in general anesthesia, food and drink intake is allowed until 24:00 pm on the prior day to procedure -for patient have to arrive with empty stomach for the surgery!

Please take the regularly taken drugs in time and dose. Take morning drugs with little liquid at home before departure and in case you may have drugs to be taken in day-time, please bring them with to the clinic!

Considering the extremely painful inflamed area this operation is cannot be carried out in local anesthesia just in general anesthesia. Fever means no delay for the operation but it makes it more urgent. During the procedure the skin and abscess-wall is opened up and its sanies content is removed and the cavity is cleansed and followingly tampon is placed in the wound.

No doctor can guarantee that a complication-free surgery. Complications can arise even following the most carefully performed procedures. The post-operative observation time spent at the clinic and the continuous connection keeping after leaving clinic serves the recognition of eventual early complications (e.g. post-bleeding). Therefore if you recognise any little sign of emerge of complications (e.g. bleeding, fever), you may contact your surgeon 24/7 to solve your problem. Among late complications first of all rectal fistula is to be mentioned, for in case of 30% of recovery of the rectal abscess a so-called fistula canal remains that can only be cured by further operation. Besides the damage of the anal muscular system may occur, causing dejecta continence problems - but this is a very rare complication at this type of surgery. Improper disclosure, and progress of inflame process may indicate further disclosures. Complications can be prevented by careful post-operative observation and careful operation.

The post-operative observation time is usually 6- 8 hour long, until physiological functions (blood-pressure, urine) get stable again and patients can leave clinic on their own feet with accompany. In the first week of recovery physical load and -work must be avoided but permanent bed-rest is notnecessary. The post-operative pain can be well treated by drugs. Settlement of dejection i.e. regular, soft dejecta during recovery is prominently important. Intake of one spoon of liquid paraffin is proposed 3 times a day but usually no other ejective is necessary. If the patient has fever prior to the operation, antibiotics are given. Defluxion of wound is normal for 3-4 weeks and use of panty-liners are recommended. The total recovery time takes app. four weeks and in this period of time physical load is to be avoided.

Fee of surgery: 0 HUF (paid by National Health Insurance Fund)
Charge for general anesthesia: 40.000 HUF (paid by patient, optional) > Euro
Charge for overnight stay: 0 HUF
Fees of control examinations: 0 HUF (paid by National Health Insurance Fund)

We provide air-conditioned, TV-, phone- and WIFI equipped one-or two-bedded rooms, personal nurse and meal but these mean no further costs for our patients.

Fee of surgery: 80.000 - 100.000 HUF > Euro
Charge for general anesthesia: 80.000 HUF > Euro
Charge for overnight stay: 30.000 HUF > Euro
Fees of control examinations: 5.000 HUF > Euro

50% of the fee is due at the time the operation is scheduled, as a prepayment.
These are estimated charges and may also be affected by the severity of the condition.

We provide air-conditioned, TV-, phone- and WIFI equipped one-or two-bedded rooms, personal nurse and meal.

INFORMATION ON OPERATION OF RECTAL ABSCESS