anal tightening

The purpose is to increase the tension of the external anal sphincter and to consolidate the curative effect of rectal prolapse. Treatment of diseases: anal incontinence, rectal prolapse Indication Prolapse of the entire rectum, accompanied by anal sphincter relaxation. Preoperative preparation 1. Preoperative factors for rectal prolapse should be removed before surgery, such as improving nutrition, enhancing physical fitness, treating diarrhea, constipation, dysuria and chronic cough. 2. There is no need for special preparation. Surgical procedure 1. Position: Stone removal position 2. Incision: 1cm (white line) at the posterior edge of the anus, a semi-annular incision from 3 to 9 points, deep hemostasis after the external sphincter group, and ligation [Fig. 1 (1)]. 3. Separation of the flap: The upper edge of the incision is gradually separated to reach the plane of the tooth line. The upper edge flap at 6 o'clock is clamped with tissue clamp and pushed into the anus to make the semicircular incision into a longitudinal incision. 4. Longitudinal suture: cut off the extra skin angle at both ends, suture the muscle layer, mucous membrane and skin layered longitudinally. The tightness of the suture is suitable for the anus to extend into the two fingers under anesthesia.