The beginning of the needle is stabbing pain, drug injection is swelling pain, perhaps, this is the main point of surgical pain; need to relax to relieve the reflex tension of the perianal muscles, muscle spasm aggravates the pain; 4, anal disinfection: iodine volts and Neosporin cotton balls repeatedly anal disinfection, sometimes due to excessive residual stool, 1-2 cotton balls need to be left on the top pressure stool, do not worry, the first postoperative bowel movement can be brought out; 5, surgery. Internal ligation and external peeling of mixed hemorrhoids or anal fistula excision or hanging treatment; 6.Patients try to maintain the original position during surgery to facilitate the operation; at the same time, they remain relaxed and communicate with the doctor at any time if there is discomfort; 7.Requirement: perianal routine surgery is simple, but it takes time to stop bleeding after surgery, so patients try to remain relaxed and facilitate the relaxation of perianal muscles; 8.Wrapping: local wide tape pressure wrapping after surgery, starting from Both inguinal areas start, along the root of the thigh, over the anus, and gather to the tip of the tailbone skin; pay attention to the patient’s cooperation when wrapping: try to elevate one limb, expose the groin, and isolate the perineal body hair by hand to prevent adhesion under the tape, which is not good to remove when defecating after surgery; also can be over the abdomen and inguinal cloth tape with pressure. 9, support: postoperative patients walking from the outpatient operating room to the ward, need family members from both sides of the shoulders under the support; back support when the best assistant hands tighten the patient’s double knees, conducive to pressure; 10, postoperative to maintain flexed knee left and right lateral position 4 to 6 hours, pressure to stop bleeding and prevent perianal lateral circulation obstruction after extravasation; 11, postoperative 30 minutes in large doses of plain water to promote bladder function recovery, through the urination reflex 12, on urination: first drink large doses of warm water or cumin (50g tea); feel a sense of distension in the middle of the lower abdomen when using the toilet, relax the abdomen, when it is difficult to discharge, you can continue to drink a small amount of water, apply hot towels to the middle of the lower abdomen, loosen the pressure tape if necessary, open the large water pipe after using the toilet, listen to the sound of running water to induce urination, generally can; serious of, can often strong points, foot three miles and other acupuncture points to stimulate, if necessary under the urinary catheter (generally not advocated) 13, on painkillers: now at the end of surgery in the surgical area compound Melanin local closure, 8 to 12 hours after surgery severe pain no longer exists, generally through urination, can be tolerated; if necessary, oral pain relief tablets, temporary relief; pain-sensitive patients, you can postoperative anal built-in sodium diclofenac suppositories or anal Mucosal topical compound lidocaine gel; as for pain relief injections are generally not used; 14, postoperative diet: 48 hours into a low residue diet, with a low residue diet, including thin rice, tofu brain, milk, oil tea, eggs and other types of mainly; 48 hours into a light coarse fiber diet, conducive to defecation. 15, the first postoperative bowel movement: 48 hours after the normal diet, after eating can eat a banana, while self-removal of perianal tape and gauze, anal built-in open plug a, lubricating the end of residual stool, to prevent painful stimulation of the wound; 16, postoperative sitz bath: 48 hours later, after each bowel movement, with 1:1000 potassium permanganate solution 3000ml, buttocks sitting in, fumigation for 10 to 15 minutes. The purpose is to stretch the anal muscles before defecation and relieve pain during defecation; after defecation, it is to relieve the spasm of the sphincter muscle and relieve the burning pain caused by washing residual stool on wound stimulation, and through warmth, promote the recovery of the anal sphincter function, accelerate local blood circulation, and facilitate wound healing; 17, postoperative sitz bath: since 48 hours, daily 1:1000 potassium permanganate solution 2500 to 3000ml buttocks sitting into, about 20 degrees, 10 to 15 minutes / time, you can use hot water, sitting on top of the first fumigation, cool after sitting in the bath; 18, postoperative drug change: 48 hours after the start of the first, generally after sitting in the bath, drug change before iodine volts or hydrogen peroxide cleaning trauma, but rectal trauma is prohibited to use hydrogen peroxide, resulting in drug proctitis, after Jiuhua cream sterile gauze from the opposite end of the wound side end placed into the anus 4cm after turning to press into the trauma on; outside covered with sterile gauze, tape simple fixation; drug change: the doctor’s gently, the patient relaxed, when the diversion; drug change is generally 1 time / day, a total of about 20 days; of course, according to the trauma, you can initially add the powder of metronidazole suppositories, local anti-inflammatory, medium-term use of nitroglycerin cream, promote blood supply, accelerate healing, the end of the ice chips and vitamin c tablets to prevent the formation of poultice dermatitis. Note: The early postoperative observation is whether there is sacrococcygeal distension and pain, intense anal drop, dampness of the outer gauze, the purpose is to observe whether there is bleeding; after defecation, the observation is whether there is smooth drainage of the wound, long closure with or without encapsulation of the deformity, and the late stage is mainly to observe the wound scar formation with abnormalities. The purpose of postoperative attention is effective, and thus timely doctor-patient communication.