2020年10月1日星期四

hemorrhoids and anal fissures,A case of circular mixed hemorrhoids, perfect presentation of external stripping and internal ligation

    Introduction to medical records

    Anal swelling prolapsed for 8 years after repeated defecation, and worsened for 1 day. No other underlying diseases in the past.

    Specialist physical examination as shown

    After completing the relevant examinations, I will perform external stripping and internal ligation under general anesthesia.

    As shown in the picture

    After the routine diagnosis and treatment, the patient recovered well after taking out the dressing the next day after the operation. The picture below shows the side lying position.

    The second day after surgery

    Annular mixed hemorrhoids are a common disease in anorectal department, and it is also a difficult operation. The main reasons for the difficulty are as follows: 1. Internal hemorrhoids valgus, local swelling, and even thrombosis, local changes will affect the judgment of the operation; 2. The surgical incision is difficult to design, the anus is a functional organ, which guarantees the function It should always be in the first place. A good incision design is vital to the recovery of the shape of the anus after the operation, the healing of the incision after the operation, and the guarantee of the function; 3. The experience of the surgeon and the prediction of the operation Ability is also critical. The conclusion is to ensure the function and prevent anal stenosis.

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