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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For A Non Healing Open Ishiorectal Abscess

Hello I had a surgery for ishiorectal abscess, it was drained on the 15th Nov 2011 and was discharged the next day, the surgeons told me that it would take 6 weeks for the open wound to heal, it was left open for the body to heal inside out. The wound is still open with pus and some blood discharging every day. I clean it every day followed by a stiz in salt water. I had a MRI scan on the 28th Dec, the report of which was discussed on 24 Jan with the surgeons. I was told that I would have to undergo another surgery which could either be Lay Open or Seton surgery depending on the depth of the tunnel formed.The MRI scan final report say the following: "There is a rather to the well-defined inter sphincteric tract running from the lower anterior sphincter at 12 o'clock down to perimeum. The track measures 3 cm in length. There is no extension of the tract above the level of the dentate line and there is no evidence of horseshoe formation or braching. The maximum width the tract is 6 mm. There is no other significant finding elsewhere on the images of the perinium."
Wed, 27 Aug 2014
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Addiction Medicine Specialist 's  Response
ah, that's what I thought. There's been a connection from the infection/inflammation connecting the anus and the outside skin. Treatment would be to surgically remove the entire abnormal connection, and patch everything else and watch the healing closely to make sure things close up the way they should.
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Suggest Treatment For A Non Healing Open Ishiorectal Abscess

ah, that s what I thought. There s been a connection from the infection/inflammation connecting the anus and the outside skin. Treatment would be to surgically remove the entire abnormal connection, and patch everything else and watch the healing closely to make sure things close up the way they should.