How to do bleeding after hemorrhoid operation?

Hemorrhage after hemorrhoidectomy has always been a difficult problem in anorectal department, and it cannot be completely avoided at present. Foreign scholars reported that its incidence rate was 1%~2%, while domestic reports were 0.5%~2%.

Hemorrhage after hemorrhoid surgery is generally fine as long as the amount is not much, but if the amount of bleeding is large, you must pay attention.

First, the causes of bleeding after hemorrhoid surgery:

1. Self-disease factors: coagulation dysfunction such as liver disease and hypersplenism can easily lead to postoperative bleeding, and patients with hypertension and arteriosclerosis can also easily cause postoperative bleeding.

2, hemorrhoid ligation period: generally there will be a small amount of bleeding during the ligation period, which is normal.

3, surgical factors: common causes of postoperative bleeding, list a few:

① Insufficient defecation before operation, no enema, and premature defecation after operation are easy to lead to bleeding.

② The anesthesia is not ideal, the patient's anal sphincter can't be completely relaxed, and the exposed area of the operation field is not large enough, which will make the doctor operate in an inaccurate state, which will easily lead to unsatisfactory suture of bleeding point and massive bleeding.

③ Improper compression and hemostasis after operation can also lead to bleeding.

④ If the suture is not tight, the incision is too deep and too big, the suture will fall off, which will also lead to bleeding.

⑤ Inaccurate injection of sclerosing agent can also lead to massive bleeding.

Second, how to prevent massive bleeding after hemorrhoid surgery to the greatest extent?

1. Choose reliable hospitals and doctors, try to choose public old hospitals with good reputation, communicate with doctors more when you are hospitalized, and leave the doctor's phone number or WeChat when you leave the hospital. If there is bleeding, you can get help as soon as possible.

2, preoperative examination should be sufficient, careful physical examination, observe the bleeding point, blood pressure, hepatosplenomegaly, blood routine, urine routine, liver and kidney function as required.

3. Use Chinese herbal fumigation lotion after operation, such as Feng's postoperative fumigation lotion to treat the wound, so as to make the wound heal as soon as possible and reduce the probability of postoperative bleeding.

4. Empty the intestine before operation to avoid premature defecation after wound contamination.

5. Keep the stool unobstructed after operation, avoid strenuous exercise and don't overwork.

Third, what should I do if there is massive bleeding after hemorrhoid surgery?

First, observe the amount of bleeding. If it's just the amount of bleeding wrapped in feces, or a few drops are clean, you don't need special treatment first, so you can observe it closely.

If the amount of bleeding is large, you should see a doctor as soon as possible at any time, and you must not blindly handle it yourself.