Patient: Hello! My child was found to have a hard fleshy packet about 3 cm outside the anus at 28 days of age, and was diagnosed with a perianal abscess at the Pediatric Institute Dermatology and Surgery Department, which has been removed for 2 days. At present, the child’s trauma has not improved, and there are still hard pockets and redness and swelling. According to the doctor, if the abscess is not eradicated this time, there will be trouble with surgery in the future, so as far as I know, how should we proceed with the next treatment to eradicate it? Also, when it’s time for my child to get vaccinations, what vaccines can I not get? Can I take sugar pills? Is there any problem with the child’s resistance? Can I get newborn vaccinations if there is still a hard lump two days after the removal? I hope to be cured at once, I hope to know whether vaccination can be carried out Yuan Xuegang, Department of Anorectal Medicine, Chengdu Anorectal Specialist Hospital: Hello, whether you can be cured at once depends mainly on what kind of hospital and what kind of doctor you choose! At best, a simple incision and drainage is done to relieve the symptoms rather than cure the disease. After the abscess symptoms are under control and the fistula is slowly forming, the child will grow up and have a second fistula surgery. The Chinese medicine based anorectal hospitals and doctors mostly advocate a one-time cure for abscesses, the main feature of which is the treatment of the internal opening during surgery. The key to a one-time cure for perianal abscess is to accurately find and correctly treat the internal opening, to drain the incision, and to avoid pseudo-healing. If these two points are achieved, it will usually be cured at once! Finally, no matter what type of surgery is performed, 2 days after surgery, redness, swelling or hard resolution at the incision is basically normal. The recovery from surgery does not affect vaccination.