Anal fistula excision or incision with hemorrhoidectomy

Anal fistula resection or incision and hemorrhoid resection is a combined surgical treatment for anal fistula combined with hemorrhoids. Treating diseases: hemorrhoids Indication 1. Non-surgical treatment of low anal fistula that does not heal for 3 months. 2. Tuberculous anal fistula, no systemic active tuberculosis. Preoperative preparation 1. Patients with acute infection should control the symptoms, and take a bath with 1:5000 potassium permanganate warm water, until the acute inflammation subsides before surgery. 2. Tuberculous anal fistula, 2 weeks before surgery, anti-tuberculosis drugs were used. The patient had no symptoms of tuberculosis poisoning. 3. Enter the fluid diet 1 day before surgery. 4. Enema with soapy water 2 to 3 hours before surgery. Surgical procedure The stone removal position. Cut the skin in a V-shaped section in the lateral malleolus and separate the external iliac vein plexus with a hemostasis or scissors to the top of the tooth line. Then, the inner edge of the inner iliac crest is made into an eight-shaped incision at the upper end of the medial condyle, and the inner iliac vein plexus is continued to be separated until the upper end of the incision The rectal mucosa and connective tissue at the upper end of the medial malleolus were clamped with a nucleus clamp or a curved hemostat. The suture was ligated with a 7-gauge thread, and the iliac venous plexus was cut and wrapped with Vaseline gauze and dressing.

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