Surgery to remove the fissures of the rectum and restore afterwards

Two forms of the disease flow:

• The acute form. It is characterized by, pronounced symptoms. Disease, usually, easily treatable and does not repeat. its duration is less than four weeks.
• Chronic rectal fissures lasts more than one month. Difficult to treat and has a relapse.

Concerning, often experts suggest chronic anal fissure immediately operate. Besides, in itself simple operation, and its duration is about ten minutes.

Operation, choose what kind

For a long period of proctologist surgeons to combat the disease are used two common types of operations:

1. Simple excision of rectal fissures.
2. Excision of anal fissure simultaneously incising bowel sphincter - sphincterotomy. In this case, the surgeon decides to perform the sphincterotomy side subcutaneous or submucosal rear.

You can perform operations on the patient's wishes, both in hospital, and in conditions of outpatient clinics. true, during hospitalization, patients may make general anesthesia, but outpatient technique involves using only a local anesthetic for the treatment of rectal fissures.

Operation, if it carried out in an outpatient setting, the patient for two hours and left under a doctor's care, then go home, under normal general health.

Usually, for wound healing 7-10 days, and in general the whole postoperative period takes no more than 14 days, after which the patient is almost back to its standard rhythm of life.

The procedure for removing cracks rectum

The technique of surgery to remove the unpleasant disease do not present any special difficulties. After that, It was introduced as a patient or anesthetic narcosis, the crack tip, that have been modified process cicatricial, doctor excised. Granulation in the bottom of the crack is also deleted, and rectal sphincter is cut if necessary.

In this way, on the site of an old fissure appears fresh operation wound, that the doctor did not sews, leaving it open. When dissection sphincter spasm eliminates, restores adequate blood supply.

When removing the rectum cracks surgeons use either electrocoagulation, or else elektroradiohirurgicheskuyu coagulation.

Electrocoagulation based on tissue cauterization diathermic current at high temperatures. In another way, this method is called diathermocoagulation, and it is used in various fields of medicine. During this operation practically no bleeding. This effect is achieved due to the excision of pathological tissue with simultaneous cauterization of vessels, that bleed. Moreover, rough scars does not remain.

true, modern-proctology surgeons increasingly prefer the second method of excision of rectal fissures. It is about elektroradiohirurgicheskoy coagulation. The basis of this method is the use of high frequency radio waves. They are sent to the affected tissue area, where the energy "burst" within the cell to generate heat. In this way, pathological education and "melted".

However, this method of surgical treatment of rectal fissures has flaws, namely the need to mucous plastics, blood loss, postoperative syndrome development, prolonged wound healing, hematoma, abscesses, as well as the urinary space, which has been operated.

This procedure is carried out using a special apparatus called "Surgitron". true, and advantages over electrocoagulation his lot, namely:

• electrode active tissue absolutely not concerned and thus does not heat it;
• nerves are not stimulated, and completely absent reflex muscle contraction. Due to this, this procedure practically does not cause pain to the patient;
• damaged tissue minimally, due to which heal much faster;
• duration of the operation is much shorter, than when electrocoagulation;
• pain after an operation is negligible;
• complications are virtually absent.

Laser removal of rectal fissures

In addition to the above methods also apply laser or infrared coagulation. This removal fissure is very effective in the absence of the anal sphincter spasm. Laser technique of surgical treatment of the disease also has its advantages:

• Minimal incision trauma and blood loss;
• the short duration of the procedure;
• slight tissue edema and pain following laser surgery;
• the minimum probability of complications and recurrences;
• speedy recovery of the patient.

Recovery and treatment of the patient after surgery of the rectum cracks

In spite of the chosen method of surgical treatment of rectal fissures worth noting, that they have virtually no contraindications and is well tolerated by patients. However, conservative treatment after surgery crack rectum is compulsory. This will help prevent the inflammatory process of the wound, as well as promotes a more rapid healing of her.

It is very important for quick recovery will play adherence, diet and personal hygiene, which is recommended by doctors.

First of all it must be ensured, the bowels emptied daily and better in the morning. To do this, the fish must be present in the diet, bird, meat and dairy products, but the milk should be abandoned, because it can lead to upset stomach.

Besides, daily menu should contain fiber. On the third day allowed boiled vegetables and apples liver, and two weeks later you can enter fresh fruit seedless. During the first two months after surgery is strictly prohibited the eating of acute, spicy and smoked foods, as well as alcohol.

It is worth noting, o tom, if before surgery were constipation, and with them, you fought with the help of an enema, or laxatives, you must give it up. It is necessary to adjust the chair with the help of food, listening to the recommendations of your doctor and the body.

After the act of defecation toilet paper should be abandoned. Instead, use gauze or wash the anus with water.

Twice a day is recommended to do hip baths with chamomile infusion or a weak solution of potassium permanganate. Duration of the procedure should not exceed 10-15 minutes. In this way, the wound is cleansed, It improves blood circulation in the, and it heals much faster. The wound after the trays obsushivayut gauze.

For two or three months is not recommended for heavy exercise. Also undesirable long trips by car, bike, and sitting in front of TV, but walking a leisurely stroll on the contrary recommended.