How to use stapler
Anoscopy should pay attention to the problem
(1) Argonauts with right hand gloves or finger musts were applied with lubricating fluid. The argonauts were examined for lumps, tenderness, warts and external hemorrhoids.
(2) Test the tightness of the anal sphincter, normally can only stretch a finger and feel the anal ring contraction, in the rear of the anal canal can touch the anal rectal ring;
(3) Check the rectal wall for tenderness, fluctuation, mass and stenosis, and determine the size, shape, position, hardness and activity when touching the mass;
④ The anterior wall of rectum is 4 ~ 5cm away from the anal edge, men can touch the prostate, women can touch the cervix, do not mistake the pathological mass;
⑤ According to the requirements, if necessary, double diagnosis examination;
⑥ After pulling out the finger, observe the finger sleeve, there is no blood or mucus.
The use of anoscope
Should be the first rectal digital examination, and then the right hand hold the anus mirror and thumb against the core, the anus mirror tip should be coated with lubricant, with the left thumb, index finger will pull the right hip, show the anus, with the anus lens massage anal edge, so that the sphincter relax; Then slowly insert into the umbilical direction, after passing through the anal canal to the sacral fossa into the ampulla rectum. Remove the core, after removing the core should pay attention to whether there is blood stain and the nature of blood stain, if there is a secretion in the rectum, use tweezers to wipe the cotton ball, and then check in detail; Check the mucosal color, pay attention to the presence of ulcers, polyps, tumors and foreign bodies, and then slowly pull out the anus mirror, pay attention to internal hemorrhoids, anal papilla, anal recess or anal fistula mouth at the tooth line.
Anoscopy was used
The right hand mirror, thumb against the core, anal mirror tip coated with lubricant. Left hand separate buttock groove, press anus gently with anal lens for a while and then slowly push into. First toward the direction of the umbilical hole, through the anal canal to the sacral fossa, the anus mirror all forward after pulling out the core. After removing the core, pay attention to whether there is blood on the core. Adjust the light, exit slowly from deep to shallow, observe while retreating, pay attention to mucosal color, ulcer, bleeding, polyps, tumors and foreign bodies, etc. In the dentate line, pay attention to whether there is internal hemorrhoids, anal fistula mouth, anal nipple and anal recess inflammation.
Hemorrhoid treatment measures
1. Asymptomatic hemorrhoids do not need treatment, only need to pay attention to diet, keep stool unobpatently, keep perineum clean, prevent the occurrence of complications. Treatment is required only for complications such as bleeding, prolapse, thrombosis, and incarceration. Hemorrhoids are rarely fatal but can lead to serious complications and can be fatal if not treated properly. Therefore, the treatment of hemorrhoids should be careful, not to light.
2. Various non-surgical therapies for internal hemorrhoids are aimed at promoting the fibrosis of the surrounding tissues of hemorrhoids, fixing the prolapse anorectal mucosa on the muscle layer of the rectum wall to fix the loose anal pad, so as to achieve the purpose of hemostasis and prolapse prevention.
3. Surgery should be considered only when conservative treatment fails or the supporting connective tissue around the third and fourth stages of internal hemorrhoids is extensively destroyed
Post time: Jan-21-2022
