Surgical concepts for anorectal disease to promote healing

Promoting healing, broadly speaking, should be promoting physical healing. Here as one of the concepts of surgery, it includes the following meanings: surgical safety, avoiding complications, and promoting wound healing. Surgical safety, people tend to think of anal surgery as a minor surgery, which of course it is, but minor surgery is not the same as no risk. There have been cases of patients dying suddenly of nervousness right before anesthesia. There are also reports of postoperative bleeding and loss of life. Therefore, the preoperative evaluation of the patient’s organs should be rigorous and prudent. The heart, lungs, liver, kidneys, and blood system should be carefully examined. This includes whether the patient has any psychiatric disorders. Patients with anxiety, depression, and dysthymia may be worse after surgery. Preoperative communication with the patient, so that the patient trusts the doctor, the doctor and the patient get along well, is the premise of surgical safety. Avoid complications. Common postoperative complications are bleeding, edema, incontinence, strictures, pseudo healing, and urinary retention. These can be avoided as much as possible by surgical maneuvers and postoperative care, if it is not an abnormality in the system that induces the complication. A quick surgical operation is quick on the basis of careful and gentle maneuvering; rough negligence and blind confidence are never quick. As the saying goes, if you want to be quick, you can’t be quick. One is that the artist is bold, and the other is that the ignorant are fearless. An example of the former failure is Bai Yu Tang, and the latter is even more numerous. Both are undesirable. Promote wound healing. Creating a favorable local physiological microenvironment is the key to promoting wound healing. Surgical procedures to avoid unnecessary injuries, wound drainage is smooth, so that the evil of dampness and heat have a way out; regulation of intestinal function, so that the stool is soft and molded, regular defecation; clearing heat and dampness, resolving blood stasis and cooling the application of topical medications for muscle growth, are able to create a good microenvironment; avoid spasm of the internal sphincter, can reduce pain, and can improve the blood supply to the wound, accelerate healing.