The various complications of anorectal surgery are of great concern to all patients. Although we will communicate with patients in detail after the operation, many patients are still at a loss when encountering specific situations. This article teaches you how to Deal with complications after anorectal surgery.
1. Postoperative pain: Postoperative pain is a very common complication. Patients with a lower pain threshold are more sensitive to pain. For patients with hemorrhoids, the pain is more or less 7 days after surgery. The more wounds and the more sutures, the more pain they feel. The pain will be greatly relieved after the sutures are removed in 7 days. For patients with abscesses, it will be painful to change the dressing 1 week after the operation, and the pain will be greatly relieved after 2 weeks. After the operation, you can take Le Song (one tablet 3 times a day after meals) to relieve pain. If the pain does not relieve, you can inject an intramuscular injection of painkiller. Individual patients with large abscess cavity can apply tetracaine glue to the wound to relieve pain before changing dressing.
2. Postoperative bleeding: Postoperative wound oozing, blood in the toilet paper, and blood in the stool are more common. Don't panic in this situation. Generally, blood in the stool will no longer occur 2 weeks after the operation. For patients with hemorrhoids, stay in bed for 2 weeks after surgery and do not do heavy physical labor. If there is bleeding during the stool and a large number of blood clots flow out from the anus, they must come to the hospital for treatment. Generally, hemorrhage occurs. The probability is very low.
3. Urinating after operation: After the operation, hemostatic gauze will be plugged in the anus, and gauze will be pressed to stop bleeding outside the anus. The pressure of gauze and the influence of anesthesia may cause postoperative urination. You can use a hot towel to compress the lower abdomen and massage the sacrum to help urinate. In our department, surgery is performed in the morning. Most patients urinate in the afternoon or evening, and some patients also urinate in the early morning at the latest. Some patients become very anxious because they did not urinate, and feel that their lower abdomen is distended and painful, but the physical examination actually does not have much urine. So take it easy, let it go, urinating can be resolved naturally, according to my experience, there are not many patients who need postoperative catheterization. Of course, if you really can’t resolve your urine, you can ask the doctor on duty to take a shot to help you urinate. If you still can’t resolve your urine after the injection, you need to catheterize, and the catheter is left for 2 days.
4. Postoperative diet: According to the doctor's explanation, you can drink water and eat porridge (diabetic patients can eat steamed eggs) when you return to the ward after the operation. You can only eat porridge on the day after surgery (no vegetables can be added to the porridge). On the second day after surgery, you can eat noodles and hand-offs. Diabetic patients eat a diabetic diet. You can eat normally on the third day after surgery, such as rice, meat, milk, vegetables, and fruits. But avoid spicy, greasy, beef and mutton, chicken, etc. Patients with hemorrhoids should avoid high-fiber vegetables such as leeks, celery and enoki mushrooms.
5. Postoperative defecation: Oral laxatives before going to bed at night after surgery, and the first bowel movement can be performed on the third day after surgery. If individual patients do not insist on the third day after surgery, it will be on the second day after surgery. Stool in the afternoon is also fine. If there is no bowel movement on the third postoperative day, then the bowel movement on the fourth postoperative day is also normal. If you always want to have a bowel movement but do not come out, you can tell your doctor. The defecation time should not be too long, it is advisable to control it within 5 minutes. After the bowel movement, use Chinese medicine to take a sitz bath and control the sitz bath time within 5 minutes. Dressing can be changed after the sitz bath.
6. Postoperative wound edema: Postoperative wound edema is a more common complication, and it occurs more frequently in female patients. It may be caused by too long a bowel movement or a long bath time. Wound edema should be treated with topical drugs for a period of time, such as hemorrhoid suppository, hemorrhoid cream, etc. Small skin tags will be left after the edema disappears.