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work possible from about day 2; physical work may need longer until the wound is comfortable."},"complication_rate_pct":{"min":5,"max":15,"unit":"percent","qualifier":"Any early complication: bleeding, infection, urinary retention, delayed healing; minor continence changes uncommon, serious under 2%."},"contraindications":["Unfitness for anesthesia","Uncontrolled bleeding disorder","Severe immunosuppression requiring specialist planning","Suspected complex Crohn's disease needing prior work-up"],"days_in_clinic":{"min":0,"max":1,"unit":"nights","qualifier":"Usually same-day discharge; one night if pain or comorbidity requires."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":2,"max":4,"unit":"weeks","qualifier":"Light walking earlier; strenuous or cycling activity once the wound is comfortable."},"final_result_months":{"min":1,"max":2,"unit":"months","qualifier":"Time for the open wound to heal by secondary intention."},"fly_home_after_days":{"min":2,"max":5,"unit":"days","qualifier":"After the first wound check, when pain is controlled and drainage is manageable."},"follow_up_visits":[{"purpose":"wound_check","after":{"min":2,"max":3,"unit":"days","qualifier":"Dressing change and drainage check."},"requirement":"routine"},{"purpose":"wound_check","after":{"min":7,"max":14,"unit":"days","qualifier":"Healing review, often with a local clinician."},"requirement":"routine"},{"purpose":"assessment","after":{"min":42,"max":60,"unit":"days","qualifier":"Check for fistula formation or recurrence."},"requirement":"conditional"}],"indications":["Acute perianal abscess with pain, swelling and redness","Fluctuant perianal collection","Fever or signs of infection from an anorectal abscess"],"main_risks":["Recurrence of abscess","Anal fistula formation","Bleeding","Persistent drainage or delayed wound healing","Wound infection","Minor temporary fecal or gas incontinence","Urinary retention"],"pain":"Moderate for the first days, easing within a week; sitz baths and oral analgesics usually control it.","preparation":["Fasting before general anesthesia as instructed","Blood tests and anesthesia review","Disclose blood thinners and diabetes status","Plan accommodation near the clinic for 2-5 days"],"recovery_timeline":[{"phase":"Days 0-3","description":"Packing or dressing, drainage and pain control; first wound check.","restrictions":["No heavy lifting","Avoid long sitting"]},{"phase":"Weeks 1-2","description":"Sitz baths, daily dressing, gradual decrease in drainage and pain.","restrictions":["Avoid strenuous activity"]},{"phase":"Weeks 3-8","description":"Wound closes from the base up; return to full activity.","restrictions":["Avoid cycling until comfortable"]}],"rehabilitation_days":{"min":7,"max":14,"unit":"days","qualifier":"Return to ordinary daily function; wound may still drain."},"result_longevity":"Permanent if the abscess heals fully; a fistula develops in a notable share of patients and may need further surgery.","revision_rate_pct":{"min":20,"max":40,"unit":"percent","qualifier":"Repeat surgery for recurrence or fistula within 1-2 years after drainage alone."},"scars":"Small open wound heals into a flat, small scar near the anus; usually inconspicuous.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single drainage procedure."},"stages":[{"code":"incision_drainage","label":"Incision and drainage of the abscess","after":{"min":0,"max":0,"unit":"days","qualifier":"Day of surgery."}}],"qualifier":"Single-stage drainage; a fistula, if found later, needs separate surgery."},"success":{"metric":"Abscess healed without recurrence","value":65,"unit":"percent of patients","horizon":"1 year","population":"Adults with uncomplicated perianal abscess treated by incision and drainage","evidence_status":"limited"},"techniques":[{"name":"Incision and drainage","suits_whom":"Most patients with an uncomplicated perianal abscess.","recovery":"Open wound heals in 3-6 weeks with dressings and sitz baths."},{"name":"Drainage with loop drain (seton)","suits_whom":"Abscess with a visible fistula tract or higher recurrence risk.","recovery":"Drain stays for weeks; wound care continues until definitive fistula treatment."},{"name":"Drainage with primary fistulotomy","suits_whom":"Selected patients with a low, simple fistula found at surgery.","recovery":"Longer wound healing, usually 4-8 weeks."}],"treatment_conditions":["day_case"],"treatment_duration_hours":{"min":2,"max":4,"unit":"hours","qualifier":"Including anesthesia and recovery; the drainage itself takes under an hour."},"initial_assessment_documents":["Photos of the perianal swelling","Pelvic or anal MRI report (if available)","Recent blood test results","Previous abscess or fistula surgery reports","List of blood thinners","Colonoscopy or Crohn's disease report (if available)"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single-stage drainage; stay 2-5 days until the first wound check and fitness to fly."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Confirm the surgical team and an anesthetist review you before surgery","scope":"procedure","source":{"url":"https://www.guysandstthomas.nhs.uk/health-information/perianal-abscess-surgery","host":"guysandstthomas.nhs.uk","quote":"You'll be reviewed by the surgical team and assessed by an anaesthetist before surgery.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"C2","text":"Confirm the doctor explains the procedure at the assessment before you consent","scope":"procedure","source":{"url":"https://www.gloshospitals.nhs.uk/your-visit/patient-information-leaflets/perianal-abscess-and-fistula/","host":"gloshospitals.nhs.uk","quote":"When you are seen on the Surgical Assessment Unit, the doctor will explain the procedure.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"C3","text":"Confirm you receive a written consent form before surgery is carried out","scope":"procedure","source":{"url":"https://www.guysandstthomas.nhs.uk/health-information/perianal-abscess-surgery","host":"guysandstthomas.nhs.uk","quote":"If you decide to have surgery, we will ask you to sign a consent form.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"C4","text":"Confirm the surgeon discusses your treatment options with you before surgery","scope":"procedure","source":{"url":"https://www.guysandstthomas.nhs.uk/health-information/perianal-abscess-surgery","host":"guysandstthomas.nhs.uk","quote":"Your surgeon will talk to you about your treatment options.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"C5","text":"The clinic should provide instructions for wound care after surgery","scope":"procedure","source":{"url":"https://www.guysandstthomas.nhs.uk/health-information/perianal-abscess-surgery/surgery-and-recovery","host":"guysandstthomas.nhs.uk","quote":"We'll give you instructions about how to remove this 24 hours after your surgery.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}}],"checked_at":"2026-11-14","next_check_at":"2027-11-14","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"Asked to sign a consent form before the procedure has been explained to you","scope":"procedure","source":{"url":"https://www.gloshospitals.nhs.uk/your-visit/patient-information-leaflets/perianal-abscess-and-fistula/","host":"gloshospitals.nhs.uk","quote":"You will then be asked to sign a consent form stating that you understand why you are having the surgery and you are willing to go ahead with the procedure.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"F2","text":"Promises the abscess will never return, instead of explaining the recurrence risk","scope":"procedure","source":{"url":"https://www.guysandstthomas.nhs.uk/health-information/perianal-abscess-surgery","host":"guysandstthomas.nhs.uk","quote":"For a small number of people the abscess returns.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"F3","text":"No discussion of treatment options with the surgeon before surgery is offered","scope":"procedure","source":{"url":"https://www.guysandstthomas.nhs.uk/health-information/perianal-abscess-surgery","host":"guysandstthomas.nhs.uk","quote":"Your surgeon will talk to you about your treatment options.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"F4","text":"Clinic says no follow-up is planned even if a fistula is suspected at surgery","scope":"procedure","source":{"url":"https://www.nbt.nhs.uk/taxonomy/term/31?page=23","host":"nbt.nhs.uk","quote":"If we suspect an anal fistula at the time of surgery, we will explain this and organise follow up for you.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}}],"checked_at":"2026-11-14","next_check_at":"2027-11-14","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Bleeding from the wound that does not stop","urgency":"contact_clinic","general":false,"source":{"url":"https://www.nbt.nhs.uk/our-services/a-z-services/colorectal-cancer-services-surgery/colorectal-patient-information/perianal-abscess-advice","host":"nbt.nhs.uk","quote":"A small amount is normal, if this does not stop, or is a large amount, please seek medical attention.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"W2","text":"Pus or unpleasant smell from wound","urgency":"contact_clinic","general":false,"source":{"url":"https://www.nth.nhs.uk/resources/incision-and-drainage-of-an-abscess/","host":"nth.nhs.uk","quote":"Pus or an unpleasant smell coming from the wound site.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"W3","text":"Severe pain after the procedure","urgency":"emergency","general":false,"source":{"url":"https://www.nbt.nhs.uk/our-services/a-z-services/colorectal-cancer-services-surgery/colorectal-patient-information/perianal-abscess-advice","host":"nbt.nhs.uk","quote":"If following the procedure, you feel unwell, are in severe pain, have high temperatures, or fast heart rate please go to your nearest Accident and Emergency department.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"W4","text":"Fast heart rate after the procedure","urgency":"emergency","general":false,"source":{"url":"https://www.nbt.nhs.uk/our-services/a-z-services/colorectal-cancer-services-surgery/colorectal-patient-information/perianal-abscess-advice","host":"nbt.nhs.uk","quote":"If following the procedure, you feel unwell, are in severe pain, have high temperatures, or fast heart rate please go to your nearest Accident and Emergency department.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}}],"checked_at":"2026-11-14","next_check_at":"2027-11-14","version":1},"take_home":{"status":"ok","items":[{"id":"T1","text":"Shows when and how packing is removed; home doctor needs it","document":"wound dressing instructions","source":{"url":"https://www.guysandstthomas.nhs.uk/health-information/perianal-abscess-surgery/surgery-and-recovery","host":"guysandstthomas.nhs.uk","quote":"We'll give you instructions about how to remove this 24 hours after your surgery.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"T2","text":"Home doctor needs the medicine instructions to continue treatment","document":"prescription","source":{"url":"https://www.nbt.nhs.uk/taxonomy/term/31?page=23","host":"nbt.nhs.uk","quote":"Follow the instructions on the prescription.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"T3","text":"Shows whether follow-up is arranged if a fistula is suspected","document":"follow-up plan","source":{"url":"https://www.nbt.nhs.uk/taxonomy/term/31?page=23","host":"nbt.nhs.uk","quote":"If we suspect an anal fistula at the time of surgery, we will explain this and organise follow up for you.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"T4","text":"Home doctor needs the clinic's follow-up recommendations in a written discharge summary","document":"discharge summary","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"When you have treatment abroad, you must ask the treatment provider for their follow-up recommendations documented within a written discharge summary in English.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T5","text":"Ask for written details of the procedure before you leave the hospital","document":"written procedure details","source":{"url":"https://rcseng.ac.uk/patient-care/cosmetic-surgery/after-surgery/","host":"rcseng.ac.uk","quote":"After your surgery, before you leave the hospital, ask for written information about the procedure you've had.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-14","next_check_at":"2027-11-14","version":1},"alternatives":{"status":"ok","items":[{"id":"A1","text":"Your abscess is not suitable to be drained","name":"Antibiotics for abscess","source":{"url":"https://leaflets.ekhuft.nhs.uk/incision-and-drainage-of-a-skin-abscess/html/","host":"leaflets.ekhuft.nhs.uk","quote":"If your abscess is not suitable to be drained, you may need antibiotics.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200},"operation_id":null}],"checked_at":"2026-11-14","next_check_at":"2027-11-14","version":1},"technique_details":{"status":"ok","items":[{"id":"incision","name":"Incision and 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knot.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"drainage-primary-fistulotomy","name":"Drainage with primary fistulotomy","how_it_works":{"text":"The fistula track is cut open along its length","source":{"url":"https://www.northerncarealliance.nhs.uk/patient-information/patient-leaflets/colorectal-anal-fistulas-and-seton","host":"northerncarealliance.nhs.uk","quote":"This is the simplest way to treat a fistula which involves cutting open the length of the fistula track to ‘open it up.’","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}}],"checked_at":"2026-11-14","next_check_at":"2027-11-14","version":1}}},"hrefLanguages":[{"rel":"alternate","hreflang":"ru","language":"ru","href":"https://ru.bookimed.com/clinics/country=turkey/city=antalia/procedure=hirurgiya-perianalnogo-abscessa/"}],"questionsAndAnswers":[],"seoTests":{"thin_content":false,"no_txt_after_3_clinics":false},"offerFilters":{"offer_count":0,"city_filter":[{"id":107,"name":"Estambul","alias":"istanbul","country_iso_code":"TR"}],"price_filter":{"from":0,"to":0,"avg":0}},"leadsCount":{"leads_count":1},"manualSeo":[],"updatedAt":"2026-11-14T02:20:55.447Z","activeCountries":["ES","TR","MX","TH"],"hasVideoReviewsByContext":false,"hasCriticalApiFallback":false}