2021年2月17日星期三

lidocaine for hemorrhoids,Precautions for perianal surgery

    Correct care after anal surgery plays a vital role in wound healing and reducing complications. Some operations are very successful, but improper postoperative care can lead to complications such as wound edema, infection, prolapse, poor drainage, slow healing, and false healing. In order for the patients to recover smoothly, we will explain the precautions for common anal operations such as hemorrhoids, anal fistulas, anal fissures, and perianal abscesses.

    1. Diet and exercise, defecation

    Surgery day: Patients with local anesthesia can eat normally, patients with spinal anesthesia can eat after 6 hours of lying supine, and patients with general anesthesia can eat after fully awake. Eat porridge, noodles, egg drop and other semi-liquid diets. Don't eat fat, greasy, spicy and irritating foods. Don't eat cold foods such as fruits. Don't drink honey and beverages to avoid flatulence and diarrhea. Bed rest is the main operation day.

    The first day after the operation: eat a semi-liquid diet, take a proper walk, control bowel movements, fumigate the anus with Chinese medicine and change the dressing.

    The second day after the operation: normal light diet, eat more crude fiber food, drink plenty of water, walk appropriately, control bowel movements, fumigate and wash the anus with Chinese medicine and change dressing. In the evening, oral moisturizing and laxative drugs such as polyethylene glycol 4000 powder and hemp capsules help to defecate.

    3-20 days after surgery: You can defecate, clean the anus after defecation, change the dressing after fumigation and washing with Chinese medicine. The diet is based on light, crude fiber foods, nutritious and easily digestible foods, such as chicken soup, fish soup, lean meat, fish, duck, etc. Proper walks, do not bear weight (such as carrying water, mopping the floor, etc.), do not have sex, do not sit for a long time and squat.

    Avoid alcohol and spicy food for 3 months after the operation, do not do strenuous exercise, do not ride a bicycle, and do not do heavy physical work.

    The water temperature is appropriate during fumigation and the time should be controlled. Patients with perianal abscess, anal fistula, and anal fissure can sit in a bath for 10 minutes, and patients with hemorrhoids can take 2 minutes. Squatting and sitting for a long time will cause wound edema.

    Stools are difficult to pass. Do not work hard, tell the doctor to deal with it, you can open the syrup or clean the enema.

    2. Pain

    The development of minimally invasive surgery and the construction of painless wards have significantly reduced postoperative pain. However, some patients are still suffering from severe illness and still have slight pain after surgery. Oral or intramuscular analgesics can be used to relieve pain. Slight pain in the anus during defecation is normal, and it can be relieved by timely washing and fumigation after defecation.

    Three, bleeding

    It is normal for the anal dressing to have a little blood oozing within 24 hours after the operation. If the dressing is completely drenched or the amount of bleeding is heavy, please tell the doctor in time.

    It is normal to have a small amount of blood dripping or blood on the toilet paper during stool. If the blood flow does not stop or a large number of blood clots are discharged, tell the doctor immediately.

    Patients undergoing hemorrhoid surgery should pay attention that 5-14 days after the operation is the hemorrhoid shedding period, do not dry and clump the stool, have a moderate amount of activity, and a small amount of bleeding is heavy. Please tell the doctor in time.

    Four, anal bulge

    On the day of the operation, most patients will have a feeling of bulging in the anus. If the urine is not smooth, the feeling of bulging will be even worse.

    Anal bulging is related to surgical stimulation, oil gauze packing, and urinary discharge. It will be significantly relieved after ten hours after the operation.

    Five, secretions

    There is a small amount of secretion in the anus after the operation, and the patient should not worry about the wound purulent. Anal fistulas and abscesses have more secretions in the first week, and then gradually decrease, and will last for about 25-40 days. If accompanied by anal swelling, pain, fever, and chills, consider the possibility of wound infection.

    6. Wound edema

    Poor tissues around the anus, frequent squatting on the toilet after surgery, difficulty in urination, premature defecation, frequent defecation, all easily lead to wound edema. Don’t worry too much about the edema. Correct the above factors and after treatment by the doctor, it will gradually decrease and disappear.

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