A Perianal Abscess Cavity Packing vs no Packing.
A Perianal Abscess Cavity Packing vs no Packing.
This prospective randomized trial will be conducted in all patients undergoing packing or no
 packing for perianal abscess cavity after incision and drainage, for 6 months after approval
 from IRB in Surgical unit III, Civil Hospital Karachi. Patient will be selected simple random
 sampling technique based on inclusion criteria. Patient will be assessed for post-operative
 pain, healing of cavity and recurrence of abscess. At first time of debridement pus or tissue
 will be sent for culture and sensitivity, meanwhile broad-spectrum antibiotic will be
 started.

 Questionnaire will be filled by PI for post-operative pain, recurrence of abscess, quality of
 life, wound healing, post operative fistula in ano and chronic post surgical pain either due
 to packing or no packing.
This is an experimental randomized control trial will start 6 months after approval from
 Institution Review Board. All patients with perianal abscess after incision and drainage
 cavity will be either packed or not after informed consent. Pack will be changed daily as
 regular dressing till healing occurs. Packing reduces bleeding and heals cavity by effect of
 dressing solution in which gauze is soaked. Other group with dressing will be changed daily
 and will be assessed for healing week. There is no pain in simple dressing applied over
 cavity. Patient will receive broad spectrum antibiotics according to pus or tissue culture.
 During this period, laboratory investigation CBC, CRP will be sent to check the response.
 Sits bath will be advised to both groups. Post-operative pain, cavity healing will be
 assessed by faculty.
Inclusion Criteria:

 -  Age greater than 18 years

 -  Age less than 70 years

 -  Perianal abscess

 Exclusion Criteria:

 -  Suspected inflammatory bowel disease

 -  Fournier's gangrene

 -  Horseshoe/bilateral abscess