1.How should patients take care of perianal abscess after surgery? If a patient has undergone perianal abscess surgery, then post-operative care and drug exchange become the main treatment means and the key. Therefore, patients should follow medical advice, pay attention to diet, avoid eating spicy and stimulating alcoholic beverages, and eat more fruits and vegetables to keep the bowels unobstructed. At the same time, adhere to the anal sitz bath after the stool, available 1:5000 potassium permanganate solution or saline, or use Chinese medicine decoction sitz bath fumigation anus, each time 10 to 15 minutes. Also avoid eating cold and greasy food to prevent diarrhea or blockage of the anal sinus by fecal residue. Pay attention to whether the wound surface is oozing blood, and change the dressing in time if it has been stained wet. Replenish fluids or antibiotics as prescribed by the doctor, or take various drugs orally. Diet should be high in protein and low in fat, and drink more soup and water to promote nutrient absorption. The granulation should be fresh, red and live when changing medication. If the granulation tissue grows higher than the epidermis, it should be trimmed; if there is a wound bridge healing or a suture wound with infection, the open wound should be peeled off or the suture should be removed to open the wound. For those who have hanging threads, if the hanging threads do not fall off 7 to 9 days after surgery, it is better to change the threads and hang them again, and it is better to remove the stitches in 5 to 7 days for the sutured wounds. 2.What should patients pay attention to after healing of perianal abscess? It is a happy thing that the anal abscess has been healed through careful treatment by the physician, but it should not be taken lightly. Although the disease is cured, we still need to pay attention to diet, keep the bowels open, and insist on washing the anus after the stool. At this stage, you can use 1:100 salt water bath, which is both economical and practical. At the same time, after healing, the anal wound formed a scar, hard texture, sometimes there is pain or sitting for a long time pain, this is a normal phenomenon, patients do not need to be nervous, with the passage of time, scar tissue absorption softening, the above feelings will gradually disappear. This phase usually lasts for 3-6 months. After the sitz bath, the anal scar can be externally coated with Ma Yinglong musk hemorrhoid cream or bear bile hemorrhoid cream to protect the new traumatic skin and avoid damage due to friction or strenuous exercise. 3.How to prevent recurrence of perianal abscess after surgery? Through the careful treatment of doctors and close cooperation of patients, the perianal abscess was cured, and while the patients were in a joyful mood, another question came to their mind: Will the perianal abscess recur? Will they get it again in the future? We say that generally speaking, if a perianal abscess is cured through effective treatment, there is little possibility of recurrence of perianal abscess in the future at this site. This is because the sinus here has been treated by the doctor and the root cause of perianal abscess formation is bacterial infection of the sinus. However, according to the physiological anatomy of the human body, each person has multiple anal sinuses, that is, each anal sinus has the possibility of being infected by bacteria, then all have the possibility of suffering from perianal abscess, which is not a problem of recurrence, but a problem of re-occurrence. Therefore, after the disease is cured, in future daily life, avoid various triggers, pay attention to diet, avoid spicy alcoholic wine and other stimulating products; keep bowel movements smooth and develop good habits of regular bowel movements; pay attention to anal cleanliness and hygiene, wash the anus with warm water after each bowel movement; avoid prolonged sitting, standing and squatting. At the same time, do more anal lifting exercises, 5 to 10 minutes each in the morning and evening, to promote local blood circulation in the anus and strengthen the body’s resistance. Through your own efforts, you can effectively avoid the recurrence of perianal abscess. 4.How to carry out psychological care after perianal abscess surgery? After surgery, patients are generally likely to experience anal pain, wound bleeding, anal part down, difficulty in urination, pain in defecation, etc. Therefore, they are more apprehensive and have a fear of surgical treatment. In our clinical work, we often find that due to the different mental states of patients after surgery, the process of wound healing and recovery can be fast or slow. Patients who are optimistic recover faster, while those who are depressed recover more slowly. How can we be optimistic? The first thing is to understand the essence of the problems faced after surgery, to enhance confidence in overcoming difficulties, to maintain optimism, and to smoothly pass through this period of treatment life. (1) Pain problem: Pain after surgery is unavoidable, but often it is not as serious as expected, and sometimes it can be without any obvious pain sensation, and even some patients reflect that postoperative pain is much lighter than preoperative pain. Generally speaking, on the day or evening after surgery, the pain is often more painful, and once this period has passed, the pain will gradually decrease. Meanwhile, for mild pain, general painkillers can be taken to relieve the pain. In recent years, with the continuous improvement of the medical level, the post-operative pain has been greatly reduced, you can not have to worry about it, not to mention the fear of pain and refuse the surgical treatment because of choking. (2) The problem of anal falling sensation: In addition to pain, on the day of surgery or within 3-5 days after surgery, there is often a falling sensation in the anus, and from time to time you feel that there is stool in the anus to be relieved. For this feeling, it is important not to go to the squatting toilet frequently, as this can easily cause hemorrhage or inflammation and swelling of the wound. Patients should know that the sensation of falling anus after surgery is a pseudo-constipation feeling formed after surgical treatment, and there is actually no stool to be discharged from the anus. As long as the patient rests in bed and adopts a high hip position (padding the buttocks about a foot high) and alternates hot and cold compresses, the downward sensation can be reduced or eliminated. (3) Defecation problems: Some patients deliberately fast or restrict their diet for fear of painful defecation and surgical wound infection, which is in fact completely unnecessary and unscientific. Many of the current anal surgeries are open surgeries, and there is no need to control bowel movements after such surgeries. Generally, enemas and bowel movements are performed the day after surgery to facilitate the recovery of anal function. In addition, the day before the surgery, the enema is cleaned, so that the wound will not be inflamed and swollen due to defecation, and the surgical result will not be affected. In order to defecate smoothly, patients should develop the habit of regular defecation after surgery to promote stool softening and keep the stool unobstructed, which can be achieved through diet or medication. (4) Bleeding problem: Since the trauma is open after surgery, it is normal to have a little fresh blood on the stool paper. Patients need not be nervous, as this phenomenon will disappear naturally as the trauma is repaired. If there is more bleeding, the doctor will always take care of it, so you do not have to worry about it. In the meantime, you should take rest and absolutely avoid strenuous activities. In general, you should rest in bed for 24 hours before leaving the bed for appropriate activities. Even after the wound is completely healed and before the surgical scar has softened, there is a possibility that the scar may be opened by strenuous activity. Through the above discussion, you should have an understanding of the situation after anal surgery, and I believe that your fears have been reduced accordingly. There is no need to avoid treatment, but you should accept treatment with firm belief and a happy mood, which is an important step towards your recovery.