What should you pay attention to after ligation (hemorrhoids postoperative care precautions)

1. Things to note after the male sheep is castrated

Season selection and weather selection for ram castration: The most suitable castration season is at the turn of spring and summer, and it is better to castrate adult rams in late autumn. When performing castration, attention should be paid to climate changes. A day with clear, warm and windless weather should be chosen. It is advisable to perform the operation in the morning in order to observe postoperative changes and deal with postoperative complications. Hopefully it helped you.

2. What are the methods of ligation and recanalization

Ligation and recanalization For surgery, you can choose minimally invasive surgical recanalization treatment under the uterine cavity, or you can perform laparotomy surgery to perform recanalization treatment under the uterine cavity. The surgery is relatively less invasive. During the surgery, you need to remove the fallopian tubes at both ends of the ligation site. The inner core of the fallopian tube is re-sutured to ensure the smoothness of the fallopian tube before the surgery is completed. Postoperative care should be taken to reduce the occurrence of infection, adhesion and other phenomena.

3. Precautions after hemorrhoid surgery

The following answers are excerpted from Huang Dongping, chief physician of the Department of General Surgery, Putuo People\’s Hospital Affiliated to Tongji University, \”What is ultrasound-guided hemorrhoid artery ligation?\” ——Huang Dongping, Putuo District People\’s Hospital, Shanghai\”

4. What should you pay attention to when a female dog undergoes sterilization?

The reasons why it is recommended to sterilize male dogs are as follows: 1. It is more difficult to sterilize female dogs than male dogs. Fallopian tube ligation is not impossible, but it sometimes fails and may lead to pregnancy. (It mainly depends on the level of the doctor) It is better to remove the ovaries, but the price is relatively high, the operation is relatively complicated, and the risk factor is relatively high. 2. The destructive power of male dogs in heat is greater, and male dogs are sterilized and their testicles are cut off, which is technically easier. The fees are also relatively low. Basically, after this is done, the two dogs can live in peace with each other.

And except that male dogs will be slightly fatter, there are basically no adverse effects

5. How is ligation performed?

First of all, the score is whether it is male ligation or female ligation. The way women are tested is to make a small 3cm incision in the abdomen and use a series of methods to prevent sperm from combining with eggs. The method of male sterilization is to cut the vas deferens to achieve the purpose of sterilization. It is recommended that you should take appropriate nutritional supplements after surgery. It is still necessary to pay attention to local hygiene to avoid infection.

6. Hemorrhoids postoperative care precautions

Hemorrhoids are a This common disease located in the anus can occur at any age, but the incidence rate gradually increases with age. In my country, hemorrhoids are the most common anorectal disease and are known as “nine out of ten men have hemorrhoids” and “ten out of ten women have hemorrhoids”.

How well you recover after hemorrhoid surgery will directly affect the success or failure of hemorrhoid surgery. The recovery period after hemorrhoid surgery is divided into four stages: coagulation stage, inflammation stage, repair stage, and maturity stage.

The coagulation period: begins when the skin is incised and a wound is created. The body\’s own coagulation, electrocautery, suture and ligation are used to stop bleeding, and gauze compression is used to stop bleeding.

Inflammatory phase: 3-7 days after the operation, the body\’s defense against trauma, the edge of the wound gradually becomes red and swollen, there is rotten tissue on the surface, pus-like secretion leaks, and increased defecation Stimulation, pain and discomfort are prominent. During this period, the focus of care is to ensure smooth wound drainage, make the wound grow from the inside out, from bottom to top, and avoid false healing on an empty stomach.

In combination with antibiotics, analgesics, sitz baths, inserting plugs into the anus and applying ointments to wounds, etc., it can relieve the pain of inflammation and anal sphincter spasm, and allow you to stand and walk appropriately. Sit peacefully, dry the wound, and let the secretions flow out smoothly.

Repair period: 5-20 days after surgery, granulation tissue formation and epithelial regeneration. Granulation fills the defect, removes necrotic tissue and foreign matter, and the epithelium migrates from the periphery of the wound to the center to cover the wound, forming scars. During this period, sit flat or locally apply pressure to flatten the granulation, and properly massage the perianal area and wound scars to promote the circulation of Qi and blood and avoid delaying wound healing due to poor scar elasticity. In these three phases, the wound appears to heal, and the discomfort caused by the surgery basically disappears within 3 to 6 weeks.

Maturation stage: New granulation and epithelium further differentiate, transform, and increase in strength. Scars soften and become closer to skin color. During this period, take care of the anus, wash it with warm and cold water, and apply moisturizing ointment around the anus. Four stages, complying with the growth pattern of the wound, assisting care, and allowing the wound to recover naturally.

1. The diet should be light, avoid tobacco and alcohol, and eat less spicy, fried, fried and other hard-to-digest irritating foods.

Think quickly after surgery. Diet and defecation are very important, especially diet. Some people \”supplement\” a lot of nutrients in order to recover as soon as possible, but in the past Excessive intake will increase the frequency and volume of defecation, which is harmful rather than beneficial to the recovery from anorectal surgery.

Excessive defecation may contaminate the wound and cause infection. Coupled with severe pain, people fear defecation, so many people want to avoid defecation. Severe pain leads to eating less or not eating, but this affects the healing of the wound.

Therefore, it is best to prepare some chrysanthemum holiday nutritional powder that can provide sufficient energy without producing feces, so as to reduce the stimulation of wounds by defecation and promote healing.

The human body has two natural defecation habits: one is the \”rising reflex\” when getting up in the morning; the other is the \”defecation posture\” of squatting. When you wake up in the morning and change from lying to sitting to standing, intestinal peristalsis will increase, and the intestines will produce a huge peristaltic wave to help you push stool out;

On the other hand, humans have been using the squatting posture to defecate for thousands of years. The squatting posture relaxes the pubic and rectal bones, straightens the rectum, and promotes defecation.

The toilet has only appeared in the past 30 years. When defecating in a sitting position, when the legs and the trunk are at a 90-degree angle, the puborectalis muscle of the pelvic floor will Unable to rest, the curvature of the rectum makes defecation difficult and induces constipation. Therefore, it is best to return to the natural squatting position when defecating, which is helpful to avoid constipation.

3. From 24 hours to 1 month after surgery, take warm water sitz bath 2 or 3 times a day, including once after defecation, to improve local blood circulation, promote inflammation absorption and reduce local edema. Generally, fumigation with hot water for 5 minutes is followed by sitz bath for 5 minutes.

However, if you squat for a long time to take a sitz bath, especially patients who are weak after illness or the elderly, they cannot squat and are prone to accidents. Therefore, you should choose a medicated bath with a dedicated person for sitting in the sitz bath. The electric healing medicated bath is a good choice. This kind of medicated bath can be placed directly on the toilet to avoid tearing the wound due to squatting in the sitz bath and prevent it from being stretched for a long time. Accidents such as slipping and falling may occur due to inability to squat.

Using paper to wipe after defecation will only rub the stool into the folds and wounds of the anus. The harder you try to wipe it clean, the deeper the stool will be embedded, causing bacteria to multiply. Increase inflammation and edema. The correct method is to rinse the perianal area with running water, clean the anus thoroughly, and then use iodophor to disinfect the anus. If there are tear wounds in some anal canals, it is necessary to go deep into the anal canal to wipe and disinfect. At this time, you can use the healing cleaner. It is not only easy to carry, but also meets the requirements for cleaning the anus after defecation. After rinsing, wipe it with a special anal disinfectant wipe. Rinse and then wipe it with wet wipes after defecation. Pay attention to choosing anti-inflammatory wipes. Wet wipes with antibacterial properties and specially used for private parts can create a relatively sterile environment for the anus and reduce the chance of hemorrhoids.

Some people with hemorrhoids are in a more serious condition and often have exudate or secretions staining their underwear. Going out to work can easily cause unnecessary embarrassment and breed hemorrhoids. Bacteria aggravate the condition. At this time, do not use sanitary napkins to absorb exudate, because sanitary napkins are not breathable and will aggravate the anus\’s hot and humid state, which is not conducive to recovery.

5. Postoperative wound pain and special position make it difficult for hemorrhoid patients to sit down stably. Therefore, when maintaining a sitting position, the anus should be elevated, which can be placed on the buttocks Place an anal healing pad under the anal area to provide strong support, suspended in the air and breathable, so as not to compress the wound and speed up wound healing and recovery.

6. Do not do strenuous exercise after surgery and avoid squatting for long periods of time to prevent constipation and severe coughing after a cold. In particular, it is necessary to avoid increasing perianal venous pressure after sitting for a long time, which may cause local circulation disorders and thrombosis.

7. Anal exercise, that is, contract the anus on its own for 5 seconds, then relax for 5 seconds, and repeat this cycle for 5 minutes, 3-5 times a day , can promote local blood circulation, reduce local pain in the anus after surgery, and make defecation smooth

The reason why hemorrhoids may recur after surgery is because surgery cannot solve the problem of hemorrhoids. The reason why it happened. Therefore, preventionRelapse should also be targeted at the triggers: for example, reducing the occurrence of constipation through dietary adjustments, exercise, and improving bowel habits; reducing sitting and standing for long periods of time; keeping the anal area clean, etc. are all ways to prevent it. In addition, targeted anal exercises must be carried out to improve local blood circulation, reduce local blood vessel congestion and expansion, and enhance the stretching ability of the anal sphincter, which can also effectively reduce recurrence.

OK, this ends the content about what to pay attention to after ligation and post-operative care for hemorrhoids. I hope it will be helpful to everyone.