The surgical procedure for cutting hemorrhoids includes steps such as anesthesia, positioning, sterilizing, and performing surgical removal.
1. Anesthesia, the common type of anesthesia used for hemorrhoid surgery is sacral anesthesia, or lumbar anesthesia, which is operated by an anesthesiologist.
2. Positioning, that is, the patient will be adjusted to the appropriate lying position, to facilitate the operation. Common positions for hemorrhoid surgery are truncated position, lateral position and knee-chest position.
3. Sterilize the perianal skin and anal canal mucosa.
4. Surgical excision, common external peeling and internal ligation, preoperative exploration of hemorrhoidal points and the need for surgical excision of hemorrhoids, followed by stripping the external hemorrhoids, lifting the external hemorrhoids at its base to make a V-shaped incision, excision to the dentate line near; clamping the internal hemorrhoids at the base of the absorptive thread through the suture, excision of more than the hemorrhoidal nucleus, trimming the edge of the incision, gauze compression stuffing, dressings and bandages, the basic end of the operation.
In addition, patients should pay attention to the following points after hemorrhoid surgery.
1. pay attention to their own eating habits, early try to fluid or semi-fluid diet, later return to normal diet after avoiding spicy stimulating food, increase the intake of fiber-rich fresh vegetables and fruits.
2. It is recommended that patients keep their bowel movements smooth, and patients with chronic constipation should be given oral laxatives in the early postoperative period to prevent constipation after surgery.
3. Pay attention to the cleanliness and hygiene of the anal incision after defecation, and take anal bath after defecation or before going to bed.
4. After the operation, you need to change the medicine regularly and return to the hospital for follow-up to promote the healing of the incision. Strenuous activities that may affect the healing of the incision should be avoided within two weeks after the operation.
Hemorrhoid surgery is not complicated, but requires patients to actively cooperate with the doctor before, during and after the operation.