2021年2月6日星期六

hemorrhoids external causes,A case of external stripping and internal ligation of mixed hemorrhoids

    I. Introduction

    The patient had an "anal fistula" operation more than 10 years ago. No history of infectious diseases such as "hepatitis" or "tuberculosis"; denial of chronic diseases such as "diabetes" and "nephropathy"; denial of history of trauma or blood transfusion; no history of allergy.

    Specialist examination: (KC position) the anal margin is flat, and radial old surgical scars can be seen at 5 o'clock in the anus; there is no mass on the digital examination of the anus, and the sphincter is tight. Anoscopy showed huge hemorrhoids at 11-3 points, about 4*3cm, partly prolapsed outside the anus with the anoscope.

    The patient has completed relevant examinations, and all infectious disease indicators are normal, liver and kidney function, and blood coagulation function are normal. On the next day, the mixed hemorrhoids were externally peeled and internally ligated under lumbar-shu anesthesia combined with local anesthesia.

    After the operation, he was given anti-inflammatory and hemostatic treatments, wintergreen sitz bath agent, Sanhuang ointment, Jiuhua powder dressing, and infrared microwave treatment to improve blood circulation and prevent edema. And give traditional Chinese medicine Wenqingyin to regulate stool. The patient felt that the pain was mild, the stool was smooth, and the postoperative effect was good.

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