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Learn about peri-anal hematomas causing severe pain and how expert Dr. P.T. Kenny recommends incision and drainage treatment. The procedure explained in simple steps for quick relief in this guide.
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“Thrombosed Haemorrhoid” Dr. P.T. Kenny.
Introduction • The correct name for this condition is a peri-anal haematoma. • It causes severe pain and discomfort and forces the unfortunate victim to seek help urgently. • The treatment of choice is incision and drainage of the haematoma. • The procedure is simple and can be done in your consulting rooms.
Technique • Lithotomy position is recommended but is not essential. • A dental syringe and needle to administer a local anaesthetic works best. • Inject about 1ml of 1% lignocaine subcutaneously or submucosally into the haematoma. (If injected correctly, a pale area forms). • Incise the haematoma and expel the clot by squeezing it. There is usually very little bleeding. • Apply a loose gauze swab or a sanitary pad.