With the arrival of the second child wave, many pregnancy problems also arise. As we all know, try not to take medicine during pregnancy, let alone surgery. Recently, experts from the Anorectal Department of Zhongda Hospital Affiliated to Southeast University successfully performed emergency mixed hemorrhoid surgery on a 29-week pregnant woman under local anesthesia. According to Chen Hao, deputy director and attending physician of the Anorectal Department of the hospital, the pregnant woman had relatively large mixed hemorrhoids at that time, severe pain, and uterine contractions. Although the patient may feel some pain due to local injection, the impact on the fetus will be minimal. At present, the pregnant woman has recovered and been discharged.
Overeating aggravates hemorrhoids in pregnant women
Half a month ago, Ms. Li, who was 29 weeks pregnant, came to Zhongda Hospital for help because of worsening hemorrhoids and pain and discomfort. According to Chen Hao\’s attending physician, Ms. Li was already suffering from incarcerated hemorrhoidal pain at that time. If the anus is not returned to the anus in time, it will cause local edema and worsen ischemia. At that time, the attending physician Chen Hao performed hemorrhoid reduction surgery on the patient, and Ms. Li went home to rest after her condition improved. A week later, Ms. Li found that the size of the hemorrhoids increased significantly, the pain intensified, and caused uterine contractions, and she felt less fetal movement. She immediately came to the anorectal department of the hospital for treatment.
After careful examination, Chen Hao\’s attending physician found that the pregnant woman\’s hemorrhoids were twice as swollen as last time. The condition is serious and requires immediate emergency surgery. If left untreated, serious complications can occur that are dangerous to both adults and children. It was the Chinese New Year, and Ms. Li was visiting relatives and friends to eat, drink and have fun, and she didn\’t pay much attention to her diet. As the number of weeks of pregnancy increases, abdominal pressure also increases, causing hemorrhoids to worsen.
If the hemorrhoids in my belly get worse, should I have surgery?
\”If a pregnant woman is already in the third trimester of pregnancy, don\’t worry too much. Even if something unexpected happens during the operation, you can ask the obstetrician to accompany you and give birth early to ensure the safety of mother and child.\” But the patient is only 29 weeks old. If something happens during the operation, Still quite tricky. According to Chen Hao\’s attending physician, the situation of pregnant women is difficult for both doctors and patients, and the risks are high.
After careful preoperative evaluation and adequate preoperative preparation, it was finally decided to perform emergency surgery for mixed hemorrhoids in pregnant women. During the operation, the operation was completed in 20 minutes under fetal heart rate monitoring and local anesthesia. According to the doctor, for ordinary people, this operation is just a minor operation and can be completed in ten minutes. It is not too difficult. However, for pregnant women who are only 29 weeks pregnant, the risk is still quite high. \”Although local anesthesia is a bit painful, the impact on the fetus is minimal.\” Chen Hao, the attending physician, told reporters that for the health of pregnant women and the fetus in the abdomen, he broke the conventional electrosurgical method to stop bleeding during the operation and used forceps to stop bleeding and ensure that There will be no accidents caused by electric current in the body affecting the fetus. To put it simply, a \”purely manual\” surgery was completed.
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Incarcerated mixed hemorrhoids should be treated as soon as possible
Doctors point out that after mixed hemorrhoid impaction occurs, if it is not treated in time, urinary retention, difficulty in defecation, and even fecal impaction may occur.
Once co-infections are not treated in time, severe sepsis may even occur and cause systemic symptoms. Therefore, after mixed hemorrhoids become incarcerated, you must seek medical treatment promptly to avoid delayed treatment and serious complications.
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Prevent hemorrhoids from getting worse during pregnancy
After a woman becomes pregnant, the incidence of hemorrhoids increases significantly. After pregnancy, the growing uterus puts pressure on the rectum and anus, causing hemorrhoids. In some pregnant women, hemorrhoids are caused by constipation. Hemorrhoids form when the veins around the anus become congested and swollen from straining or taking too long to have a bowel movement. When hemorrhoids are exposed and cannot be retracted, it will be so painful that you will be unable to sit down. After delivery, the uterus returns to its pre-pregnancy size, factors affecting pelvic venous return are eliminated, anal venous plexus congestion is improved, and some hemorrhoids may disappear naturally.
Doctors point out that when pregnant women suffer from anorectal diseases such as hemorrhoids, they must not panic. Doctors remind pregnant women with hemorrhoids to pay more attention to their daily routine, defecate regularly every day, and keep their stools smooth. Clean the anus frequently and keep it dry. The diet should be light, avoid spicy and irritating foods, and eat more vegetables and fruits, such as watermelon, bananas, tomatoes, etc., which can moisturize the intestines. If the situation is serious, it is recommended to go to the anorectal department of a large hospital for surgical treatment in time. In addition, if you already have hemorrhoids before pregnancy, you should pay attention to adjusting your life and not overexerting yourself to avoid aggravating hemorrhoids. Try to choose a general hospital for delivery. Once an emergency occurs during or after pregnancy, anorectal surgery can be performed immediately.
Correspondent Cui Yuyan Cheng Shouqin Jinling Evening News reporter Li Hua