2020年11月12日星期四

what does a hemorrhoids look like,Two anal fistula operations, completely different feelings and experiences丨reported by witnesses

    Original: Outreach Office Yantai Zhifu Hospital today

    After recovery, Mr. Luan took a group photo with Director Xiao and the head nurse

    Once bitten, twice shy

    It is understood that Mr. Luan’s first anal fistula occurred 10 years ago. Due to bad habits such as frequent drinking, smoking, sedentary sitting, staying up late to use the phone, and long squatting time in daily life, the perianal abscess was caused. He broke into an anal fistula and underwent surgery in a hospital.

    "At that time, for the first week after the operation, I was in pain every day. I almost couldn't sleep at night. I also needed to walk with the support of my family members. It was too painful, so I was afraid of defecation. The beginning of the nightmare-the pain became more intense, and over time formed a vicious circle, accompanied by anal stenosis, which lasted for more than a month," Mr. Luan now recalled the situation at that time still lingering and shuddering, and said bluntly: "Fear, true I'm afraid, too scared! The pain really left a deep psychological shadow on me."

    Banners sent by other patients to Director Xiao Qiang

    After being admitted to the hospital, Director Xiao Qiang, after detailed consultation and examination, decided to treat the anal fistula and at the same time remove the mixed hemorrhoids for many years. After determining the operation plan, Director Xiao Qiang gave him a full and all-round psychological counseling and comfort, and the operation proceeded smoothly as scheduled.

    "very touched"

    "Normal defecation on the second day after surgery"

    "It doesn't hurt so much"

    "If the pain of a female child can reach 8-9, then when I experienced the first anal fistula operation, the pain was 7 or even above level 7, and Director Xiao Qiang gave me this anal fistula operation experience Up to level 3.5", Mr. Luan added humorously.

    Pain Rating Scale

    "This time I really need to take good care of it. The fart is small, and it hurts really!" Mr. Luan felt relieved after the operation, and at the same time, after the persuasion of Director Xiao Qiang, he made up his mind to change his previous lifestyle.

    For the same disease, why is the pain between the two operations so different?

    The same is done for patients with anal fistula surgery. Why do patients feel completely different about the pain of the two operations? Is there any way to prevent the disease from the same patient twice within 10 years? Director Xiao Qiang will reveal the secret for you.

    Animation: How does anal fistula form?

    Banners from other patients to Director Xiao Qiang

    Expert experience:

    Professional expertise:

    Common and difficult diseases in anorectal surgery such as anal fissure, high complex anal fistula, severe mixed hemorrhoids, perianal abscess, outlet obstructive constipation, anal swelling, rectal prolapse, hidden hair sinus, rectal polyp, sacrococcygeal mass, rectal vagina Surgery and conservative treatment of fistula and other diseases.

    Participated in many domestic academic conferences to grasp the latest developments in the treatment of anorectal diseases at home and abroad. In many years of clinical work, a one-time radical resection of perianal abscess has been used to avoid the waiting for a second operation and the secondary trauma to the patient’s mind and body; multi-point mucosal ligation plus sclerotherapy injection to treat rectal prolapse The curative effect is definite and the complications are few. Break through the traditional Chinese medicine thread-hanging method for high perianal abscess and high anal fistula, and perform high-position low-position resection to avoid incomplete incontinence and hanging caused by anorectal ring "keyhole" defect Pain caused by thread; anal fissure treatment has created a "theory of the circumference of anal canal" and designed the "small gap method of anal fissure posterior incision" based on the theory to prevent postoperative recurrence; create a "mixed hemorrhoids to preserve anal epithelium and lining High-position ligation of pad", through technical improvement, avoids postoperative hemorrhage, anal stenosis and other complications; self-created "high-position ligation of mixed hemorrhoids to preserve anal epithelium and padding, external hemorrhoid subcutaneous tissue stripping technique, skin bridge dissection Suture technique, internal incision under direct vision of anal fistula, high anal fistula high-position open low-incision pairing drainage" and other minimally invasive operations, combined with a variety of options for anesthesia, postoperative long-acting analgesia, wound dressing, and surgery For the management of back defecation and pain, a simple, effective and characteristic "painless anorectal" diagnosis and treatment plan was summarized.

    Familiar with modern anorectal techniques such as mixed hemorrhoids PPH, TST, RPH. According to the size of the operation, the length of the operation, and the estimated severity of postoperative pain, select local anesthesia, intravenous anesthesia + local anesthesia, and low-concentration walkable spinal anesthesia. Among them, low-concentration walkable spinal anesthesia is a domestic innovation. It has the advantages of painless operation, walkability after operation, and no urinary retention.

    Academic achievements:

    Presided over 3 provincial and municipal scientific research projects and published 5 papers above the provincial level.

    Social Service:

    Member of the First Gastrointestinal Surgery Committee of the Cross-Strait Medical Exchange Association

    In 2019, represented Yantai Zhifu Hospital to participate in the Xi'an Ma Yinglong National Webcast Academic Salon, and gave an academic report on the theme of "Details Determine Success or Failure-Experience in Painless Anorectal Surgery".

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