Perianal abscess and necrotizing fasciitis generally refers to perianal abscess and necrotizing fasciitis, usually the treatment of perianal abscess and necrotizing fasciitis will use surgical drainage and debridement, anti-infective treatment, and at the same time can be supplemented with hyperbaric oxygen chamber treatment.
1. Surgical drainage and debridement: Usually, patients with perianal abscess complicated by necrotizing fasciitis are required to have necrotic and infected tissues surgically removed, and a drainage tube is placed at the wound to be repeatedly flushed with hydrogen peroxide solution, and the scope of debridement is usually enlarged until healthy soft tissues can be seen to bleed, so as to achieve the purpose of adequate drainage.
2. Anti-infective treatment: through the results of bacterial culture and drug sensitivity test, select the appropriate antibiotic drugs to be anti-infective treatment, such as metronidazole, cephalosporin, levofloxacin, etc., the specific need to strictly follow the doctor’s instructions for the use of drugs.
3. Hyperbaric Oxygen Chamber Treatment: Patients can be treated with hyperbaric oxygen chamber after surgical debridement to help oxygenate the local tissues, thus accelerating wound healing and improving resistance to pathogenic bacteria.
Perianal abscess complicated by necrotizing fasciitis patients if treatment is not timely, there may be lesions that lead to systemic symptoms of toxicity, multi-organ failure, so it is recommended that patients seek medical attention as soon as possible, early surgical drainage and debridement is the key to treatment, but the specific need to be based on the patient’s condition and their own condition, be sure to follow the doctor’s instructions to actively cooperate with the treatment.