What Is a Rubber Band Ligation?
A method for treating anal fistula by using a silk thread or rubber band to tightly bind, using mechanical pressure or contraction force, and slowly opening the duct. .
Basic Information
- Chinese name
- Anal fistula wire surgery
- Anesthesia
- Lumbosacral, local or general anesthesia
- Indication
- High anal fistula
- Contraindications
- Patients with skin disorders around the anus, etc.
- complication
- Pain, urinary retention, etc.
Anal fistula anesthesia
- Lumbosacral anesthesia, local anesthesia, or general anesthesia.
Preparing for anal fistula hanging surgery
- 1. Shave the skin around the anus.
2. Give a liquid diet 1 day before surgery.
3. If necessary, enema with Kaisailu or soapy water 4-6 hours before surgery.
Indications for anal fistula hanging surgery
- 1. It is suitable for high anal fistula with fistula exceeding straight anal ring. It can obviously touch the wall of cable-like tube without branch.
2. As an auxiliary method for complex anal fistula.
Contraindications for anal fistula hanging surgery
- 1. Patients with skin diseases around the anus.
2. People with severe tuberculosis, syphilis and extremely weak body.
3. Anal fistula from cancer.
Anal fistula suture procedure
- 1. The probe with a silk thread at the tail end is probed into the fistula from the outer mouth, and according to the direction of the fistula, it enters the rectum through the inner mouth or the top of the fistula and bends out the anus.
2. Pull the probe out from the anus, leave the silk thread in the fistula, and then pull the thread out of the anus. Tighten the thread every 7-10 days until the hanging thread falls off and the fistula is open.
3 The rubber band hanging thread is to bind the rubber band to one end of the silk thread, use the above method to thread the silk thread into the fistula, and then pull the silk thread to make the rubber band thread enter the fistula.
4 Tighten the rubber band at both ends, and ligate the rubber band with a silk thread near the skin.
Complications of Anal Fistula Suture
- Pain, urinary retention, etc.
Precautions for anal fistula hanging surgery
- 1. Look for the inside mouth carefully to avoid false paths.
2. The rubber bands are tightly ligated moderately. Do not ligate too tightly at one time, which may cause anal incontinence.
Nursing after anal fistula hanging surgery
- 1. Every day after surgery, take a warm bath of 1: 5,000 potassium permanganate and change the dressing. The anal fistula is opened by rubber bands about 10 days after the operation. Wound healing.
2. Keep your stools open and use laxatives if necessary.