Factors front view of the operation
degree of disease.
Carried out on any hemorrhoidectomy stage disease, it is preferable to cure all of the second degree, when it is impossible to use a latex ring, and third degree, which is characterized by loss of nodes.
- The age of the patient group.
people under 35 hemorrhoidectomy years can not give assurance that, that hemorrhoids do not come back. But older people 40 years old, in front of, guarantees more.
- disease, in which the operation is contraindicated.
disease, leading to intestinal inflammation (KRONE) and immunodeficiency. Also, when the presence of cancer surgery is contraindicated. Pregnant contraindicated hemorrhoidectomy by Milligan for the reason, during childbirth happen relapses.
Preparations for hemorrhoidectomy
Normalization of bowel before surgery. Observe the correct diet, laxatives. Be sure to pass the research and analysis. Conservative treatment in case of inflammation. bowel cleansing using enemas and laxatives adoption.
The use of anesthesia during hemorrhoidectomy
When used primarily hemorrhoidectomy, general anesthesia. all because, that the use of anesthetics gives anatomical landmarks and can interfere with the course of operation. Another frequently used epidural anesthesia.
Carrying out such an operation,
With such the operations as hemorrhoidectomy by Morgan, the patient lay on his back, fix on supports legs. Abroad, doctors say, it is better to spend hemorrhoidectomy in a patient's position on the stomach. When the patient is already lies on the operating table, vegetation around the anus Shaves. Then the anal canal is treated with antiseptic. Basically, apply betadine, so as solutions in alcohol lead to irritation, and the use of electrocautery and did ignite!
When processing is complete, physician expands the channel with a finger (devulsiya) and introduces anaskop. The doctor then determines the hemorrhoid nodes, to be removed, and capturing them with a special tool pulls out. Capturing unit leg, he sews artery. After that the doctor cuts through the mucous haemorrhoid, reaching base and heal her. Dr. alloying node leg, and after electrocoagulator doctor stops the bleeding.
Complications such operation
The most common is bleeding. This is the fault of a bad stop bleeding (hemostasis) on time hemorrhoidectomy. If the bleeding starts almost immediately the operation, so, defecation traumatized wound. If bleeding small, swab soaked in adrenaline and constrict vessels, but, If the bleeding is profuse, vessel ligated.
In conducting priduralnoy anesthesia can happen urinary retention. In this case, catheterization is performed. In sick, that fear of pain during defecation, It happens stool delay. In such cases, laxatives are used.. Often, hard stools injure the wound and sometimes leads to cracks in the anus. For its treatment of the anal canal and expanding nitroglycerin ointment applied.
When capturing the fiber layer of the rectum and entering bacteria occurs fistula. It is manifested in a few months or years, at the end of the operation. Sometimes it happens the narrowing of the anal canal, which is removed by means of expansion or surgery.
relapse. He rarely happens. In his case, ligation with latex rings is used.. Another complication is hematoma.. Blood can accumulate under the mucous membrane and is removed by surgery. In case of damage to the muscular system, fecal and urinary incontinence occurs..
Anal channel contaminated by microbes, which can lead to an infectious complication. Hemorrhoidectomy was called open for the reason, that postoperative wounds can not be treated and heal themselves. Sometimes it happens rectal prolapse.
After conducting the operation
After hemorrhoidectomy was made, postoperative causes unpleasant consequences. Happen delay urine and feces, and order them to leave the patient drinks a lot of fluids. there are cases, in which the patient is treated in hip baths. That there was no constipation, the patient takes laxatives. Healing time is from one to two weeks. After that the doctor conducting a study of the rectum
Instructions hemorrhoidectomy
Diet is extremely important after hemorrhoidectomy. The success of the operation depends on it.. Operation hemorrhoidectomy loses to minimally invasive methods of treatment, as the post-operative period is a pain, and the need is in the hospital. it also has complications.
Closed hemorrhoidectomy
Closed hemorrhoidectomy appeared in 1959 leave and has been suggested Ferguson and Heaton. It is carried out basically the operation for the third and fourth steps of.
When compared with open surgery, then it is a plus, that no drains are not necessary. However, complications occur and it. The most common: bleeding, severe swelling, the seam can break up, there is a risk, that forms abscesses, urinary retention and pain.
In the United States of America, in addition to the closed hemorrhoidectomy, hemorrhoidectomy is popular ultrasonic scalpel and laser hemorrhoidectomy. But, Unfortunately, relapse can happen, which risk 7 percent. In such a case and apply minimally invasive techniques.
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