Anorectal Surgery

scar support fixation

This operation involves forming several scar columns on the rectal wall to support and fix the rectum and prevent it from coming out. Treatment of diseases: rectal prolapse Indication Prolapse of the rectal mucosa. Preoperative preparation Enema with soapy water 2 to 3 hours before surgery. Surgical procedure 1. Position: The position of the stone. 2. Clamping mucosa: At 7 o'clock, a straight hemostatic forceps with a length of 18 cm were used to longitudinally clamp the rectal mucosa 1.5 cm or more above the tooth line 4 to 5 cm long and turned it out of the anus. 3. Note dry sputum: Inject the sputum liquid into the submucosa of the clamped tissue until it expands to a degree. 4. The mucosal flap is clamped: the mucosal flap after the injection of the sputum is pressed with another hemostatic forceps, and the sputum is squeezed out to dry the mucous membrane. 5. Sewing of the base: at the base of the mucosal flap, below the hemostatic forceps, the 1/3 and 2/3 of the full length are sutured through, and the sutures are sutured between the two needles. After all the sutures are removed, the hemostat is removed and the suture is ligated. According to the method, the same scar column is made at 11 o'clock and 3 o'clock. 6. Dressing: After the operation, place an analgesic plug in the anal canal and apply gauze externally. Some people have improved the scar support fixation. The main point is: clamp the clamp in the same way as above, and then suture it under the forceps with the 7th thread. It is necessary to loosen the forceps and ligation, so that the distal mucosa loses blood supply and slowly falls off, and the base granulation and scar gradually form. This method is simple and easy to perform.

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