The operation method of anal polypectomy is related to the location of the polyp and the nature of the polyp, and cannot be generalized.
Anal polypectomy applies to polyps in the lower rectum, can be detached from the anus with the tip of the polyp without anesthesia; can not be detached usually take local anesthesia, sacral anesthesia, so that the anal sphincter relaxation.
1. Position: chest and knee position, expand and relax the anal sphincter.
2. Lift the polyp: if the polyp has a tip and is close to the anus, use long tweezers or tissue forceps to hold it through the anoscope and then lift it out of the anus; if the polyp is higher or wider at the base, lift the polyp inside the anus after inserting the automatic dilatoscope for operation.
3. Excision of polyps: double silk ligature or suture at the base of polyp tip, cut off the tip at the distal end of the ligature, and take out the polyp. If the base is wide, the polyp can be removed by clamping the base longitudinally with a curved hemostatic forceps. Then, use 2% intestinal thread or silk thread around the hemostatic forceps for continuous suture, pull out the hemostatic forceps and pull the suture tight, and then return with the original line for continuous suture to the starting point, and tie the two ends of the suture to each other.
The polyp under the excision, listen to the opinion of the attending surgeon, can do pathological examination to clarify the nature of the tissue.
After the operation, you need to follow the doctor’s instructions, pay attention to postoperative care, cleanliness and hygiene, diet, etc., to prevent constipation and diarrhea, observe whether there is bleeding after defecation, etc., regular follow-up.