How to dilate the anus during hemorrhoid surgery

Anal dilation is a method that needs to be performed after surgical treatment of hemorrhoids. It is very important for the recovery of hemorrhoids. Hemorrhoids occur in the anus. For some more complex and serious hemorrhoids such as mixed hemorrhoids or anal fistulas, anal dilation must be performed during surgery. The purpose of anal dilation is to allow the blood pressure on the wound surface to flow better and accelerate the treatment time. On the other hand, it can greatly reduce postoperative infection and ensure the quality of the operation. How to dilate the anus during hemorrhoid surgery?

Many patients with hemorrhoids will choose surgical treatment. Many patients who have anal dilation after hemorrhoid surgery do not understand the reasons. Anal dilation plays a special role in the surgical treatment of hemorrhoids that cannot be underestimated. Let's learn about it!

In our daily anorectal surgeries, especially for anal fissures, mixed hemorrhoids, incarcerated internal hemorrhoids and anal fistulas, anal dilation is an important step. It plays a special role that cannot be ignored in the treatment process and also plays an important role in anorectal medicine. By dilating the anus to lengthen and break the internal sphincter, the stenosis of the anal canal caused by the contracture of the pectenic fiber band is loosened, making the drainage of the wound smooth and less prone to infection, avoiding edema of the anal margin, and no swelling means no pain, which helps the healing of the wound. To make defecation smooth, avoid the first defecation after surgery, struggling in the toilet, prolonged defecation time, inflammatory nourishment and secondary anal edema. Therefore, anal dilation is not only a treatment method, but also an indispensable technique in painless technology.

The purpose of anal dilation is to check the healing of wounds, avoid adhesion or contracture of wounds leading to anal stenosis, avoid difficulty in defecation, and enhance the elasticity and relaxation tension of the sphincter. It is also an important part of avoiding postoperative complications. Anal dilation is usually performed with two to four fingers or an anal canal dilator, depending on the lesion. If necessary, internal sphincter lateral incision + anal dilation can achieve a very good therapeutic effect and painless condition, and reduce the occurrence of postoperative complications.

Generally, anal dilation should be started about 10 days after surgery for anorectal diseases such as hemorrhoids, and should be performed 2-3 times a week as appropriate until the stool is clear. If the index finger cannot pass easily into the anus, there is a tendency for anal stenosis. When dilating the anus, first use one finger to move to the left and right of the anal canal, and gradually apply pressure outward from the front to the back. If you encounter a scar or the anal canal is tight, use your thumb and fingers to perform massage and separation to prevent adhesion, narrowness and passage formation. If you need to dilate the anus with two fingers, be careful to follow the steps and don't do it too fast or too hard. Be careful not to use too much force when dilating the anus to avoid tearing the thin skin in front and behind the anal canal. A double-blade or disposable anoscope can also dilate the anus. If the anus can be smoothly inserted into two fingers, it is satisfied!

It is very necessary to dilate the anus after hemorrhoid surgery! Some complications may occur during the recovery process after hemorrhoid surgery. For example, some patients may have anal stenosis. Anal dilation is to reduce the patient's postoperative pain so as to assist the patient in a good recovery. Reduce the occurrence of postoperative complications.