Rehabilitation exercises should be started early after anorectal surgery. Specifically, it is necessary to learn to "levator anus exercise".
The levator anus is a simple and practical method of anal function exercise. It has the dual effects of preventing and curing anal diseases. It is advocated at home and abroad. The basic method can be carried out in a variety of postures such as standing, sitting, lying down, using mind and internal energy, lifting the anus to the umbilicus, doing the movement of lifting the anus, breathing naturally or when inhaling, lifting the anus and shrinking the abdomen, exhaling Put the anus down at the time. This method is not restricted by time, venue and other conditions. One mention and one collection is 1 time, 20 to 30 times each time, 2 to 3 times a day.
The contraction and expansion of the anus is the normal physiological function of the anus. Under the control of the nervous system, it is coordinated by the internal and external sphincter muscles and the levator ani. In healthy people, the anus is contracted strongly and expanded to a degree, which can not only discharge thick and dry feces, but also close the anus so that thin stools will not overflow. After anal disease surgery, because most of the anal skin and sphincter are damaged to varying degrees, there may be different degrees of anal falling sensation, and even loose stools and exhaust can not be controlled. In addition, after the operation, pain, anus closure and contraction, sphincter spasm, and wound drainage are affected to varying degrees. These factors are not conducive to wound repair.
If the levator anus exercise is strengthened after the operation and in time, it can improve local blood circulation, avoid and prevent tissue edema; reduce the congestion and expansion of the hemorrhoidal vein, prevent the recurrence of hemorrhoids; enhance the contraction and relaxation of the anal sphincter, and reduce incomplete anal incontinence ; Promote drainage of wounds and avoid dead space effusion.
At present, clinical practice advocates early anal exercises, which can generally be started on the third day after surgery to gradually increase the range of exercise and extend the time of exercise. Even after recovery, it is recommended to exercise every day, so as to avoid and reduce the recurrence of anorectal diseases.