How to do long external hemorrhoids

summary

My grandfather originally had hemorrhoids, but it was not serious at that time. He just had polyps growing out. Maybe he didn't pay much attention at ordinary times. In addition, my grandfather was a little old, and he also had a lot of problems. In the last month, he had bloody stool three times. Although not many times, he was also very uncomfortable. Immediately carried on the treatment, now obviously improved, let's share the next long external hemorrhoids how to do.

How to do long external hemorrhoids

Treatment 1: suture is suitable for patients with narrow anus, because the anus is too small to prevent postoperative recurrence, not only the narrow part needs to be cut, but also the anus needs to be expanded. The operation is the same as the anal fissure incision and suture method, using longitudinal and transverse suture to expand the anus.

Treatment 2: anal dilatation is suitable for patients with mild anal stenosis. The patients are in the side lying or lithotomy position (the patients are supine, their legs are placed on the foot stand, and the buttocks are moved to the bedside to expose the perineum to the maximum extent. ）The skin of anal canal and a part of sphincter were cut on the posterior midline of anus to make the anus expand and pass through the index finger smoothly. The outside was covered with Vaseline sterile gauze.

Treatment 3: longitudinal transverse suture tension reduction incision, suitable for cicatricial anal stenosis. The patients were given lithotomy position, routine disinfection, local infiltration anesthesia or Yaoshu point anesthesia, and the narrow part of the anal canal with median mucosa after anal incision. Resection of sphincter and external sphincter subcutaneous layer, incision of anal margin skin 1cm, incision of mucosa on both sides of a shape. Part of the mucosa was excised, and a part of the mucosa was separated from the submucosa with scissors. The free mucosa was sutured transversely with the muscle margin skin, and the arc-shaped tension reducing incision was made on the lateral skin of the sutured part. The anterior narrow part of the mucosa anal canal was cut longitudinally, and the internal sphincter was cut. If the anal stricture is serious, the lower skin layer of the external sphincter can also be cut. The wound is open without suturing, covered with sterile gauze, and stitches removed in 5-6 days.

matters needing attention

Warm reminder: the reason why women have a higher incidence than men is determined by their own physiological structure. There are more opportunities for pelvic organs to be oppressed and blood flow blocked, resulting in pelvic organ congestion and congestion, affecting anal blood circulation, resulting in rectal compression, blocking the passage of feces and poor defecation, and finally inducing the attack of hemorrhoids.