2020年10月23日星期五

hemorrhoids external,Dr. Liu Fuyingcong's operation: parturient-acute incarcerated ring mixed hemorrhoid surgery!

    Doctor Liu Fuyingcong led the case

    Patient: Female, 30 years old, Fujianese, parturient

    Main complaint: Postpartum anal mass prolapsed with severe pain in the anus for 10 days.

    Specialty situation: (lithotomy position) prolapse of annular hemorrhoids can be seen at the anal margin, about 3.5*3.0cm in size, edema, and more thrombosis, especially at 1-6 o'clock, tenderness is significant; seen on the anal margin at 10 o'clock Once split, a sentinel hemorrhoid was seen at the far end. (Picture 1, Picture 2, Picture 3, Picture 4, Picture 5)

    Diagnosis: acute incarcerated ring mixed hemorrhoids, anal fissure

    Surgeon: Chief Surgeon Physician: Liu Fuyingcong, First Assistant: Dr. Guo Hangyong

    Surgical methods: segmental external stripping and internal ligation of circular mixed hemorrhoids, anal fissure resection, internal hemorrhoid stump sclerosing agent injection

    Anesthesia: sacral block anesthesia + basic anesthesia

    Seen when seeing a doctor (Picture 1)

    Before surgery (Figure 2)

    Before surgery (Figure 3)

    Before surgery (Figure 4)

    Before surgery (Figure 5)

    After operation (Figure 6)

    Postoperative (Figure 7)

    The first day after surgery (Figure 8)

    The first day after surgery (Figure 9)

    The second day after surgery (Figure 10)

    The fifth day after surgery (Figure 11)

    Seventh day after operation (Figure 12): Granuloma edema at 1-2 o'clock.

    Seventh day after operation (Figure 13): The wound granulation edema at 1-2 points.

    Seventh day after operation (Figure 12): Granuloma edema at 1-2 o'clock.

    Eighteenth day after surgery (Figure 13): The anal wound has healed.

    Seventy-two days after surgery (Figure 14)

    Seventy-two days after surgery (Figure 15)

    Seventy-two days after surgery (Figure 16): Medium and large size anoscopy, anal recovery is good, no complaints of anal stenosis, anal incontinence.

    Check-up in April after operation (Figure 17)

    Check-up in April after operation (Figure 18)

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