Perianal Abscess
Conditions
Keywords
sitz bath, perianal absecess, Wound healing
Brief summary
Perianal abscess is a purulent infection of the tissues surrounding the anal canal and rectum. The postoperative wound is prone to infection, and the literature indicates that hip bathing is helpful to prevent infection, reduce edema, and promote healing. Therefore, patients need to use a bidet for medical sitz bath to avoid infection and contamination. The bidet on the market is divided into ordinary type and rinse type (manual or electric). There are no high-quality studies comparing the effects of these sitz baths. A prospective randomized controlled trial was designed to investigate the effects of regular sitz bath, manual irrigation, and electric irrigation. A total of 102 patients with perianal abscess in the Affiliated Hospital of Putian University were included in the study. The patients were 18-75 years old and underwent surgical treatment. Patients with recurrent abscess, anal fistula, mental disease, pregnant or lactating women, and diabetes were excluded. The patients were divided into general group, manual group and electric group by random number table method, with 34 cases in each group. All patients received hip bathing with 0.02% potassium permanganate solution at 41-43 ° C three times a day for 10-15 minutes each time after surgery.
Interventions
Ordinary sitz bath, manual flushing sitz bath, electric flushing sitz bath
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients aged between 18 and 75 years * Patients were diagnosed with perianal abscess * Underwent perianal abscess treatment * Underwent sitz bath after surgery
Exclusion criteria
* Patients with recurrent perianal abscesses or those with concurrent formation of anal fistulas; * Patients with Crohn's disease; * Patients with mental disorders; * Pregnant or lactating women; * Patients with diabetes; * Patients with a history of malignant tumor treatment within the past 5 years. ; -Patients who are using immunosuppressants or steroids
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Wound healing time | Daily from Day 1 until complete epithelialization (max 60 days post-op) | The effectiveness of different sitbath methods in promoting recovery after perianal abscess was demonstrated by the healing time of the patient's surgical wound. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Complication incidence | Time Frame: Within 30 days postoperatively | Measurements include the incidence of postoperative bleeding, urinary retention, etc. |
| pain and swelling | Day 1, 3, 5, 7, and Day 14±2 | visual analog scale |
Countries
China