What is a Hemorrhoidectomy?
Mixed hemorrhoidectomy is to make the skin of the anal margin along the periphery of the external hemorrhoidal part, and remove the venous plexus from the outside to the rectum to the vicinity of the tooth line. Then use the clamp method or the excision suture method to combine the internal hemorrhoidal part with the isolated external hemorrhoid tissue And removed.
Basic Information
- Chinese name
- Mixed hemorrhoidectomy
- Anesthesia
- Local anesthesia, low sacral anesthesia or saddle anesthesia
- Indication
- Mixed hemorrhoids with obvious symptoms and complications
- Contraindications
- People with impaired coagulation mechanism
- complication
- Wound bleeding, infection, edema, etc.
Mixed hemorrhoidectomy
- Local anesthesia, low sacral anesthesia, or saddle anesthesia.
Preparing for mixed hemorrhoidectomy
- 1. Less slag diet 2 days before surgery, liquid diet 1 day before surgery.
2. Routine digital rectal examination before surgery to exclude rectal cancer.
3. Soap enema 1 night before the operation, clean the enema with warm saline 4 hours before the operation.
4.1: 5000 potassium permanganate bath, clean the local skin and cut off the pubic hair around the anus.
Indications for mixed hemorrhoidectomy
- Mixed hemorrhoids with obvious symptoms and complications.
Contraindications for mixed hemorrhoidectomy
- 1. Imperfect blood coagulation mechanism.
2. Severe heart, liver, kidney disease and tuberculosis active period, diabetes patients or pregnant women.
3. People with diarrhea or scar.
General procedure for mixed hemorrhoidectomy
- 1. After incision of the skin, use a hemostat or scissors to separate the external hemorrhoidal venous plexus slightly above the dentate line.
2. Make a sigmoid incision with the tips facing upwards on both edges of the internal hemorrhoid, and continue to separate the internal hemorrhoid venous plexus until the upper end of the incision.
3. Use curved hemostatic forceps to clamp the rectal mucosa and connective tissue at the upper end of the internal hemorrhoid, ligate and suture, and cut off the internal hemorrhoid venous plexus.
4. Vaseline gauze and dressing.
Complications of mixed hemorrhoidectomy
- Wound bleeding, anal stenosis, anal incontinence, wound infection, edema, etc.
Precautions for mixed hemorrhoidectomy
- 1. The thrombus and venous plexus should be cleaned up during the operation.
2. Mucosal sutures should be tight without leaving a cavity.
Nursing after mixed hemorrhoidectomy
- 1. Enter a semi-liquid diet within 3 days after surgery.
2. Minimize bowel movements within 3 days after the operation, and take bowel and laxative medicine from the 3rd day.
3. Apply antibiotics within 3 to 5 days after surgery to prevent wound infection.
4. Generally, the suture is removed after 7 days. If there is any sign of infection, the suture should be removed in time and treated as an open wound.