Incision and Drainage (I&D)
The definitive surgical treatment for perianal abscess and infected pilonidal cysts - prompt drainage under anaesthesia relieves pain, prevents spreading infection, and reduces the 30-40% risk of fistula formation. Same-day emergency treatment at Lux Hospitals, Hyderabad.
What is Incision and Drainage (I&D)?
Incision and Drainage (I&D) is the definitive surgical treatment for a perianal abscess or an infected pilonidal cyst. An incision is made over the most fluctuant point of the abscess under local or general anaesthesia, pus is completely evacuated, the cavity is washed out, and the wound is packed to heal from inside out. Dr. Samhitha Reddy performs I&D at Lux Hospitals, Hyderabad on a same-day emergency basis. As the best anal abscess specialist in Hyderabad, she understands that antibiotics alone cannot treat an established abscess - drainage is the only effective intervention. Timely drainage significantly reduces the 30-40% fistula formation risk and prevents spread to deeper fascial planes.
How the Procedure Works
Emergency Assessment
Dr. Samhitha performs an urgent examination to confirm the abscess, assess extent (perianal, ischiorectal, intersphincteric, or supralevator), and determine the appropriate anaesthesia.
Anaesthesia
Local anaesthesia for small, superficial abscesses. Spinal or general anaesthesia for large, deep, or bilateral abscesses - ensuring complete drainage and patient comfort.
Incision
A cruciate or elliptical incision is made over the most fluctuant point - positioned close to the anal verge to minimise future fistula tract length if one develops.
Drainage & Washout
Pus is completely evacuated. The cavity is explored to break down all loculations. Copious saline irrigation. Wound packed with non-adherent dressing.
Post-operative Care
Daily dressing changes and sitz baths for 1-2 weeks. Wound heals from inside out. Dr. Samhitha monitors for fistula formation over 4-12 weeks at follow-up.
Outcomes
Who Needs This Treatment?
- →Immediate and dramatic pain relief - most patients feel significantly better within 24 hours
- →Prevents life-threatening spread of infection to deeper fascial planes
- →Significantly reduces the 30-40% risk of fistula formation when drainage is prompt
- →Available on a same-day emergency basis at Lux Hospitals, Hyderabad
- →Simple, quick procedure performed under appropriate anaesthesia for complete drainage
- →Covered by most major health insurance plans - including emergency presentations
A perianal abscess is a surgical emergency - every hour of delay increases pain, risk of spread, and chance of fistula. Patients are always amazed by how dramatically better they feel within 24 hours of proper drainage. There is no substitute for timely surgery.
— - Dr. Samhitha Reddy, Consultant Proctologist & Laparoscopic Surgeon
Common Questions
Frequently Asked
Not sure which treatment is right for you?
Book a consultation with Dr. Samhitha Reddy and get a personalised treatment plan.