What medication needs to be changed after anal fistula surgery, and how to change the medication aft

Anti-inflammatory drugs are mainly used to observe the healing of wounds.

Postoperative dressing changes are possible:

By rinsing and wiping wound secretions and feces, the wound surface is cleaned and pollution is prevented;

The oil sand strips included during dressing changes not only allow pus and secretions to drain smoothly, but also protect the wound;

Some of the drugs used when changing dressings can promote wound growth;

Edema granulations can be treated promptly;

Through the filling of oil sand strips, the wound margin can be separated to avoid bridge healing and prevent later**.

The specific method of postoperative care and dressing change for anal fistula should also vary depending on the condition. In the first few days after surgery, attention should be paid to cleaning the wound, high or complex anal fistula should be irrigated, the irrigation solution should be used with normal saline, if necessary, hydrogen peroxide, and the included oil and sand strips should fill the entire wound, especially the internal opening, which must be compressed. As the secretion decreases, the clean wound can be wiped with normal saline, and the included oil and sand strips should be gradually reduced, and the focus of observation is to prevent granulation edema and bridge healing, granulation edema can be scratched with a spatula, and if a bridge has been formed to heal, it should be cut in time.

When the discharge is high, less ointment should be used, and later appropriate ointment can be used to promote healing. In addition to the usual methods, antituberculous drugs should be used on the wound area for changing dressings for tuberculous anal fistula. The number of dressing changes depends on the amount of secretions, in principle, once a day after defecation, except in special circumstances, the more times the dressing is not the better, sometimes too many dressing changes will have the opposite effect.

In traditional Chinese medicine, there is a saying that simmering pus grows meat, which means that a thin layer of secretions from the wound will promote the growth of meat.

Once again, it is very important to change the dressing after anal fistula surgery, and the internal treatment of anal fistula is the key to it. Even if the anal fistula surgery is successful, post-operative care is important to prevent the anal fistula**, and the patient is still nervous after the operation.

Did you change the dressing yourself? After anal fistula surgery, the doctor is usually asked to change the dressing. Because they are professional, the dressing change is thorough. Good luck with a speedy recovery.

There is no dressing change on the day of surgery, and it is usually not changed until the third day after surgery.

Now 25 days after the high anal fistula is hung up**, the thread is off for 19 days after surgery, the wound is large, 5*, there is still oozing, local iodophor (mucous membrane) disinfection, petroleum jelly tamponade. There is pus moss at the original hanging line, which is difficult to wipe off because of the deep position. Ask for advice on dressing change techniques.

The basic principle is to pay attention to the smooth drainage, otherwise it is easy to repeat, and it is necessary to scrape with a probe every day to prevent adhesion, and even iodophor disinfection is secondary. Don't be impatient.

In the early stage, when there is a lot of pus, chymotrypsin is added to the normal saline to change the dressing;

When there is little pus, insulin is added to glucose saline to change the dressing;

1. The main thing is to prevent the formation of skin bridges and pseudo-healing.

2. European and American literature reports that the use of metronidazole dressing change can reduce pain and promote wound healing.

The essentials of anal fistula incision are narrow inside and wide outside, with a small bottom and a large mouth The wound should be drained smoothly so that it can gradually grow upward from the base The wound should be funnel-shaped, and the gauze at the base of the wound should not be too tight It is best for the surgeon to change the dressing by himself, so that the growth of granulation can be observed in time and the treatment should be made in time The principle of dressing change is: from the inside to the outside, from the bottom to the surface, from both sides to **

How to scrape off pus.

Is it okay if the basal pus is not scraped off?

Irrigation with metronidazole and metronidazole gauze dressing change is recommended to promote wound healing.

PP sitz bath after anal fistula hanging line therapy, three times a day, 30-60 minutes each time, change the dressing solution every 10 minutes, the reserved hanging line should be gently pulled during the sitz bath, generally speaking, it will heal in 10-14 days, and PP sitz bath can also be healed if it does not heal, it is not necessary for doctors to change dressings for anal fistula patients all day long, PP + warm water 1:1000--5000 sitz bath, the longer the better, simple and effective and labor-saving.

The patient's wound is relatively large, the postoperative healing is called slow, the pus does not need to be scraped, there is no need to use any special medicine when changing the dressing, sitz bath after the toilet every day, you can use oil sand strips, and the oil sand strips are attached to the bottom of the wound, but it should be noted that the wound must be made from the inside to the outside (inner mouth), there is a bottom to grow upward, and the drainage is smooth, depending on the patient's nutritional status, and strengthen nutrition as appropriate, which will help the wound heal.

Talk about changing dressings after hemorrhoidal fistula.

Talk about dressing change after hemorrhoidal fistula. txt (

Very creative! The drainage should be unobstructed.

Draining the flow can be smooth, pus is basically ignored, if it is really serious, you can scrape it off with a spatula.

PP powder and tetracycline sitz baths are available without special treatment.

Please note upstairs that PP powder sitz baths should be discarded, PP is a strong oxidizing agent, which will affect wound healing, and is no longer recommended.

This will be replaced for you in the hospital, and you have to worry about how to take care of your anus.

Anal fistula, also known as "anal leakage" in traditional Chinese medicine, is caused by bacteria invading the depression of the dividing line between the anus and the rectum, causing suppuration and forming a pus duct. Once the abscess is ruptured, the pus inside drains out, forming a tube from the rectum to the anus, which is called an anal fistula.

It is necessary to seek medical attention in time, and pay attention to anal care, that is, to let the anus hang in the air and breathe when sitting, to clean it with water after using the toilet, and to ensure enough time for fumigation sitz bath. Prepare a set of electric anal healing kit, which has an anal healing cleaner to help clean after defecation, patients with blood in the stool should pay special attention to the fact that after stool, not only should be rinsed with an anal healing cleaner, but also need to be wiped and disinfected with anal healing disinfectants, because the wound of blood in the stool will be contaminated by bacteria in the stool, and if not disinfected in time, bacterial breeding will cause the condition to deteriorate.

Anal healing medicine bath every day with warm water or fumigation sitz bath, anal healing support pad to help suspend the wound, promote edema to subside, anal healing package hospitals and online are available, pay attention to identification when buying online, for example, some patients buy the trachea is opaque rubber, the smell is also pungent, the hospital use the trachea is transparent, and the same material as the infusion tube.

The anal healing medicine bath used in the hospital is only transparent, which is the same material as the syringe, because to observe the concentration of the liquid, the hospital uses a white inner core, and there are two hidden air passages, which are full of support, and really play the role of overhead breathable anus.

The postoperative wound is generally protected from drains, so you need to replace the drains after stool, and change the dressing at home, which may not be available, and it is recommended to go to the hospital for treatment. Later, you can use a warm sitz bath to clean the wound.

According to experts from Wuyishan Second Hospital, how long it takes to change dressings after anal fistula surgery is closely related to the size of the fistula, the complexity of the condition, the patient's physical condition and the surgical method. In addition, patients should be instructed to stay on bed rest, avoid frequent and excessive activities, and instruct patients to move appropriately.

It usually takes a week to change the dressing after anal fistula surgery, of course, this is closely related to the size of the fistula, the complexity of the condition, the patient's physical condition and the surgical method. In addition, it should be noted that when the anal fistula is replaced after surgery, the wound should be kept draining smoothly, and the medicine cloth should be placed deep in the wound, that is, at the bottom of the wound, and covered with granulation tissue to make it grow outward from the depth, but it should not be filled too tightly so as not to hinder healing.

At the same time, the wound should be checked to avoid external wound adhesions, early healing, and the formation of a new fistula. The granulation with rapid external growth should be cut frequently, and the external tissue that has healed in advance should be removed early, and the external drainage port should be enlarged to make the drainage flow smooth. According to experts from Wuyishan Second Hospital, patients should be reminded to pay attention to the following points:

1) Postoperative pain: After surgery, as the anesthesia wears off, the wound pain is generally felt, which makes the patient nervous. The patient's mood should be understood, the patient's pain should be cared for, and more explanations should be done to help them relieve the pain, and if necessary, the doctor's instructions should be given to relieve the pain.

2) Ask the patient to rest in bed, avoid frequent and excessive activities, and instruct the patient to do appropriate activities. After patiently explaining, it was explained that appropriate activities would not affect the wound, and the patient eliminated the psychological burden and felt more comfortable after changing to the correct sleeping position. (3) Pay attention to observe whether the wound is oozing blood.

If the wound bleeds, the doctor should be notified and measures should be taken to stop the bleeding. Some patients are alarmed by bleeding wounds, and they should be more concerned and considerate to comfort the patients at this time. Give appropriate explanations and counseling to calm the patient.

4) Execute the postoperative doctor's instructions in a timely and conscientious manner, and pay attention to the reaction after use. Tell the patient that the surgery was successful, make him happy, and actively cooperate with the recovery period. The above is the relevant introduction of "", experts from Wuyishan Second Hospital warmly reminded that anal fistula should be timely, choose a regular hospital, delay and endanger health, and pay attention to nursing after surgery.