Treatment of anorectal canal inflammation

Many people around us have suffered from proctoanal inflammation. Although this condition is still not common, its incidence rate is increasing, threatening the lives and health of many people. Many people are urgently looking for treatments for proctoanal inflammation. So what are some good ways to treat proctoanal inflammation? Let us now learn about the treatment methods for proctoanal inflammation.

(1) Abdominal perineal resection (Miles procedure) is suitable for lower rectal cancer that is less than 7 cm away from the anal verge. The resection range includes the sigmoid colon and its mesentery, rectum, anal canal, levator ani muscles, tissues in the ischiorectal fossa and skin around the anus. The blood vessels are ligated and cut off at the root of the inferior mesenteric artery or below the branch of the left colic artery, and the corresponding para-arterial lymph nodes are cleared. A permanent colostomy (artificial anus) is made in the abdomen. This surgery is complete and has a high cure rate.

(2) Low abdominal resection and extraperitoneal primary anastomosis is also known as anterior resection of rectal cancer (Dixon procedure). It is suitable for upper rectal cancer that is more than 12 cm away from the anal verge. The sigmoid colon and most of the rectum are removed intra-abdominally, the rectum below the peritoneal fold is freed, and the sigmoid colon and rectal cut ends are anastomosed extraperitoneally. This surgery is less damaging and can preserve the original anus, which is ideal. If the tumor is large and has infiltrated surrounding tissues, it is not suitable for use.

(3) Anal sphincter-preserving rectal cancer resection is suitable for early rectal cancer that is 7 to 11 cm away from the anal verge. If the tumor is large and poorly differentiated, or the main upward lymphatic vessels have been blocked by cancer cells and there is lateral lymphatic metastasis, this surgical method will not completely remove the tumor, and combined abdominal perineal resection is still preferred. The currently used anal sphincter-preserving rectal cancer resection methods include anastomosis with the help of a stapler, transabdominal low-level resection-transanal eversion anastomosis, transabdominal free resection-transanal pull-out resection and anastomosis, and transabdominal transsacral resection, which can be selected according to the specific situation.

2. Palliative surgery

If the local infiltration of the cancer is severe or the metastasis is extensive and cannot be cured, in order to relieve obstruction and reduce the patient's pain, palliative resection can be performed. The intestinal segment with the cancer is limitedly resected, the distal end of the rectum is sutured, and the sigmoid colon is taken as a stoma (Hartma operation). If this is not possible, only a sigmoid colostomy is performed, especially in patients with pre-existing intestinal obstruction.

2. Radiotherapy

Radiotherapy plays an important role in the treatment of rectal cancer. It is currently believed that for patients with late local stage middle and low rectal cancer, the survival rate is longer if surgery is performed after concurrent chemoradiotherapy than if surgery is performed first and then radiotherapy.

3. Chemotherapy

For patients with postoperative rectal cancer pathological staging of stage II and III, postoperative chemotherapy is recommended, with a total chemotherapy time of half a year.

4. Treatment of patients with metastatic and recurrent disease

If the local recurrence is limited in scope and there is no recurrence or metastasis to other parts of the body, surgical exploration can be performed to attempt to remove the disease. For patients who have not undergone pelvic radiotherapy in the past, radiotherapy for recurrent lesions in the pelvis can temporarily relieve pain symptoms.

The above content introduces us to how to treat proctoanal inflammation. We can learn from the above content and use this method to treat it in a timely and effective manner when we ourselves suffer from proctoanal inflammation. I hope the above content will be helpful to everyone’s condition.