How to prevent sequelae of pph hemorrhoid surgery?

PPH surgery is a very advanced surgery at present. It can complete the cutting quickly without any trauma. The patient can get out of bed the next day after the operation, but the wound will be painful due to pressure within a short period of time. It is recommended that the patient lie down for a few days as much as possible. Attention must be paid to the patient's care, diet, daily life, daily bowel movements and anal drainage to prevent postoperative sequelae.

Postoperative Care

Dietary care for postoperative constipation or diarrhea: After the operation, the patient is generally required to start defecating around 48 hours, once a day, and soft and pasty stools are preferred to avoid friction when the stool passes through the wound surface, causing damage and increased pain. If there is still no urge to defecate 3 days after the operation, instruct the patient to appropriately increase the intake of foods containing vegetable oils, such as sesame seeds, broth, etc., or take a small amount of sesame oil or honey with boiled water before going to bed at night. After the above diet therapy, the patient will generally be able to defecate. If it cannot be discharged, you can use a suppository or a small enema. If diarrhea occurs after surgery, instruct the patient to eat light, easily digestible food, pay attention to food hygiene, and avoid eating raw or cold food. You can also drink strong tea to facilitate urination and make the stool more formed. If necessary, you can use antidiarrheal drugs.

Dietary care for postoperative defecation difficulties: On the day after surgery or the next day, reflex bladder neck sphincter pain and spasm may occur due to the effects of anesthesia, surgical stimulation, wound pain or dressing pressure, leading to postoperative urination difficulties. Such patients should drink strong tea or sugar water to increase urine volume, stimulate the bladder, and increase the urge to urinate. They can also relax the dressing that compresses the wound to promote urination. For those who still cannot urinate, catheterization should be performed as prescribed by the doctor.

Dietary structure is closely related to the cure of hemorrhoids. If the food is too fine and refined, it will slow down the intestinal peristalsis, cause constipation, and lead to varicose veins in the anorectal area; if too much chili or pepper is consumed in the food, it will irritate the anorectum and cause congestion and dilation of blood vessels in the anorectal area; if the diet is too excessive or the food is too coarse, it will easily cause excessive bowel movements after surgery and cause wound infection; if the diet is properly adjusted before and after the operation, it can not only make the operation go smoothly, but also play an important role in the repair of the wound, relieve pain, facilitate wound healing, and at the same time prevent and reduce the occurrence of postoperative complications.

(1) Diet: Liquid or semi-liquid diet on the first day after surgery, and normal diet on the second day;

(2) Defecation: Control bowel movements for 1 day after surgery and take liquid paraffin oil or Ma Ren Wan orally to soften the stool. Take a sitz bath after defecation. No need to change the dressing, no need to insert suppositories into the anus, etc.;

(3) Use of antibiotics: Generally, antibiotics are used prophylactically for 1 to 3 days after surgery to prevent anastomotic infection;

(4) Observation and treatment of complications: If the surgical operation is performed in a standardized manner, there are generally no short-term complications. Otherwise, there may be bleeding, anal pain, and long-term anastomotic stenosis. Therefore, blood pressure and pulse should be closely monitored within 24 hours after surgery, and digital pericardial examination should be performed after 1 week. The stenosis should be dilated when necessary, and severe stenosis requires suture incision.