2020年10月24日星期六

hemorrhoids essential oils,Perianal abscess, complex anal fistula resection, fenestration, and circular mixed hemorrhoidectomy

    Doctor Liu Fuyingcong led the case

    High-frequency electrosurgical treatment of perianal fistula abscess (perianal abscess incision and drainage, complex anal fistula resection, fenestration and tube cutting), circular mixed hemorrhoid surgery

    Patient: Mr. Liu, male, 39 years old, from Xining City, Qinghai Province, diagnosis: right perianal abscess, complex anal fistula, circular mixed hemorrhoids

    Operation date: 2015-11-4 Anesthesia: sacral anesthesia + basic anesthesia

    Surgeon: Chief surgeon: Liu Fuyingcong, First assistant: Wang Tingting

    Surgical methods: perianal abscess incision and drainage, anal fistula resection and fenestration, segmental external resection and internal ligation of circular mixed hemorrhoids, internal hemorrhoid sclerosing agent injection

    Specialty situation: A raised mass is seen at 6-12 o'clock from the anal margin to 10cm outside the anal margin, about 13*10cm in size, with local redness, swelling, obvious tenderness and fluctuating feeling (+); It can be seen that the ring-shaped hemorrhoids are prolapsed, the size is about 4*3.5CM, soft and can be pushed, and the protruding hemorrhoid nodules can be seen on the upper circle of the inner tooth line of the anal canal.

    Specialist situation at the time of consultation (Figure 1 to Figure 3)

    Picture 1:

    Figure II:

    Picture three:

    Figure 4. Situation after anesthesia:

    Figure 5. Situation after anesthesia:

    Figure 6. Situation after anesthesia:

    Figure 7. During surgery, electrosurgical surgery

    Figure 8. During surgery, electrosurgical surgery

    Figure 9. After surgery

    Figure 10. After surgery

    Figure 11. Surgical wound on the first day after surgery

    Figure 12. The surgical wound on the first day after surgery

    Figure 13. Dressing of surgical wound on the first day after surgery

    Figure 14. On the first day after surgery, use Shengjiyuhong ointment gauze for dressing on the surgical wound

    Figure 15. On the first day after surgery, use Shengjiyuhong ointment gauze strips for dressing on the surgical wound, and topical use of Dragon Ball Cream

    Figure 16. On the first day after surgery, use Shengjiyuhong ointment gauze to change dressing on the surgical wound, and external use of Dragon Ball Cream

    Figure 17. Gauze covering the surgical wound after dressing change on the first day after surgery

    Figure 18 and below: the whole process of wound healing after surgery for perianal abscess, complex anal fistula, and circular mixed hemorrhoids

    Perianal abscess, complex anal fistula, fenestration and incisions are threaded to promote wound drainage and wound healing

    Granulation pruning for perianal abscess and granulation edema of complex anal fistula

    Circular mixed hemorrhoids wound completely healed

    Shuangliaohoufengsan is used externally on the wounds of perianal abscess and complex anal fistula to promote wound healing and scab.

    Cut off the perianal abscess, complicated anal fistula wound

    The following is a picture of the patient after healing:

    After anal, anal canal, and paraanal surgery, the wounds healed well, the anus closed well, and there was no anal stenosis, no anal incontinence and other complications and sequelae.

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