Traditional Culture Encyclopedia - Traditional culture - What are the sequelae of hemorrhoid surgery?
What are the sequelae of hemorrhoid surgery?
1, anal sphincter incomplete
Anal sphincter incomplete is in the hemorrhoids, anal fistula surgery need to excise the external anal sphincter, and even the anus lifting muscle is also cut off together; or rotational excision of sphincter triggered by the symptoms.
2, anal stenosis
Anal surgery, is to remove the affected area with a knife, so there will be some degree of scarring. However, some patients are prone to keloidal stenosis. Even if the ligature excision of internal hemorrhoidal nuclei is used to remove a wide range of mucous membranes, the anus is still narrowed.
Additionally, suppuration after surgery is also a cause of stenosis.
3, anal deformation
Patients in the cut off the external anal sphincter on one side, the side of the anal surgery will be deformed, and flaccid. Suffer from complex hemorrhoidal fistula, when there are many external fistula holes, the surgery will become uneven, very easy to cause anal deformation.
4, delayed treatment of surgical wounds
Delayed treatment of surgical wounds is common in the case of anal fissure, improper care after surgery, easy to occur. If this part of the body is implanted, it can be cured earlier.
5, post-surgical bleeding
Originally, the anus is an easy place to bleed, and in some serious cases, on the 10th day after major surgery, the thick blood vessels in the junction of the loosening of the blood vessels, and then suddenly a large amount of bleeding.
6, edema
Mainly due to surgical injury, so that the lymphatic and blood reflux is blocked. Or part of the wound suture outside the drainage incision is not good and lead to edema, can make the tissue proliferation to form the skin.
7, postoperative pain
Generally, there are varying degrees of pain after surgery, but will soon be relieved. If there is an exact cause of pain, it should be treated promptly.
8, urinary retention
The main cause of urinary retention is pain caused by anal sphincter spasm, which reflexively causes spasm of the urethral sphincter innervated by homologous nerves and urine storage.
9, other complications
Hemorrhoid surgery will also appear after a series of complications, such as: constipation, anal skin, mucosal prolapse, pseudo-polyps, anal fistula, anal itching, fecal incontinence and recurrence.
10, hemorrhoids surgery precautions
(1) postoperative patients should be 24 hours before defecation, but the operation should be used to pressure tamponade bandage, in order to prevent postoperative bleeding, so generally can be in addition to the pressurized bandage after 12 hours after the operation. This can alleviate the patient's postoperative reactions such as abdominal distension and dysuria.
(2) Before the first bowel movement, the patient should take a sitz bath with warm salt water to relax the sphincter muscle and reduce the anal pain caused by the first bowel movement. The first change of medicine should be gentle, the change of medicine can be used petroleum jelly oil gauze, traditional Chinese medicine muscle jade red cream sand or red powder gauze, stuffed into the anus, in order to obtain anti-inflammatory pain, is conducive to the efficacy of trauma drainage. The above gauze should be inserted into the anus from the normal anal canal skin into the anus. And should not enter from the wound with trauma, and in the anus before these drugs into the anus, should first be coated in the anus with Ma Yinglong hemorrhoidal ointment, four yellow ointment and other ointments, which can reduce the patient's anal pain symptoms when changing the medicine. In addition, when the middle curved forceps enter the anus, the tip of the forceps should point to the posterior side of the anus, which follows the anatomical structure of the anorectum and can reduce the patient's pain.
(3) hemorrhoids after surgery is best to change the medicine once a day, too many times, such as 2 to 3 times a day, each time the change of saline cotton ball repeatedly rubbing the wound, can make the newborn tender granulation tissue is damaged, but instead prolonged the time of wound healing, want to be quick, but can not do. Too little or no postoperative dressing change, easy to make the wound formation of false healing, the patient although hemorrhoids were cured, but the formation of subcutaneous fistula, the need for another surgical treatment.
(4) when changing the medicine, should pay attention to the growth of granulation tissue, if the growth of granulation tissue is too fast and too high, causing trauma drainage, should be cut off too much granulation tissue, or use hypertonic saline dressings on the excessive granulation tissue, so that the trauma drainage is smooth.
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