Anorectal diseases treatment

Treatment overview
Department of surgery: anorectal surgery department
Treatment: symptomatic treatment, conservative treatment, surgical treatment, drug treatment, lifestyle changes and eating habits
Treatment cycle: 1-6 months
Cure rate: 69%
Levofloxacin Hydrochloride Capsules, Levofloxacin Tablets
Treatment costs: according to different hospitals, fees inconsistent standards, the city's top three hospitals about (1000 - 10000 yuan)
Anorectal diseases; Western Medicine
The most common anorectal diseases in clinic can be summed up in four major diseases: hemorrhoids, anal fissure, anal fistula and perianal abscess. Its common clinical treatment is as follows:
First, the treatment of hemorrhoids techniques
1, drug therapy:
There are common hemorrhoid powder therapy, oral Chinese medicine and external use medicine.
The above treatment is generally applicable to light patients, such as one or two patients. The purpose is to alleviate the symptoms of hemorrhoids, for patients with mild disease, and pay attention to diet taboo, still can play the role of radical. However, for severe use, there will be a slow effect, and it is difficult to remove lesions, not thoroughly. Long term use of medicine costs a lot and has side effects on the body, so doctors recommend surgical treatment.
2 、 surgical treatment:
Surgical therapy, removal of hemorrhoids, is still the most commonly used treatment method, which is characterized with the improvement of surgical methods, intraoperative and postoperative pain is lighter, faster wound healing, curative effect, but requires a higher surgical conditions, is the most reliable method for the treatment of hemorrhoids.
Common are: ligation surgery, ring surgery, Milligan Morgan surgery, ultra low temperature and ultra high temperature operation, laser therapy, surgery, PPH HAL, HCPT ablation of hemorrhoidal artery atresia.
3 、 nonoperative treatment in surgical treatment:
For those who get out of the hemorrhoids or out of the anus, but can automatically retract hemorrhoids, may be considered non-surgical treatment. Hardening agents, injections, rubber band ligation, infrared cautery, or cryogenic freezing are used.
Two 、 anal fissure
Fresh anal fissure: non-surgical treatment of healing, such as local hot water bath, then use Potassium Permanganate hip bath, can promote anal sphincter relaxation; ulcer surface smear anti-inflammatory analgesic ointment, promote ulcer healing; oral laxative, make the stool soft, lubrication; severe pain can be procaine blocking or retention enema, the sphincter relaxation.
Old: after the treatment, the surgery, including ulcers with skin tags (sentinel hemorrhoid) resection can also cut off part of the external sphincter fiber, can reduce postoperative sphincter spasm, favorable healing wound without suture, maintain defecate unobstructed after operation, wound dressing and hot water bath, until completely healed. In recent years, the use of liquid nitrogen freezing anal fissure resection has satisfactory curative effect, postoperative pain is small, the wound does not bleed.
Three, anal fistula
The principle of treatment of anal fistula should be based on the mechanism of anal fissure and the anatomical structure of anal fistula. Anal fistula can not cure itself. No treatment will result in recurrent abscesses around the rectum and anus. Therefore, surgical treatment is necessary. The treatment principle is the incision of the fistula to form an open wound that promotes healing. There are many ways of operation. The operation should be based on the location of the mouth, the relationship between the fistula and the anal sphincter. The key to the operation is to minimize injury to the anal sphincter, prevent anal incontinence and avoid the recurrence of the fistula.
In anorectal diseases, the recurrence rate after anal fistula surgery is relatively high, which mainly refers to high complex anal fistula. Foreign reports show that the recurrence rate is 21%, so the treatment of high anal fistula is still a difficult problem at home and abroad.
The reason of recurrence after anal fistula operation is very complicated. The main reason is in question: or really did not find in the mouth, or two in the mouth and a surgical incision, because the mouth is the source of infection of anal fistula, as long as there is left in the mouth after surgery will relapse. Another reason for postoperative recurrence of anal fistula is complicated condition, too many fistulas and unknown directions. The result is the omission of the operation and the recurrence of the operation.
Comprehensive clinical case shows that: if it is high complex anal fistula after surgery, there are about 1/5 of people may relapse; if it is of high anal fistula after surgery, most of them can be cured, if someone is recurrence; low complex anal fistula after surgery, should be able to cure, relapse may have not been fistula found. Simple anal fistula can be cured after operation without recurrence. Therefore, the treatment must be looking for anorectal specialist hospital and experienced experts.
Four 、 perianal abscess

Treatment: Patients with perianal abscess, if deep abscess once formed, the internal pressure increases gradually, such as the early operation, not only can make the pus cavity early healing, prevent the spread, but also not easy to form even if the formation of anal fistula, anal fistula, easy treatment. If the abscess was delayed early surgical treatment, it is possible to transfer the infection around the gap, forming a larger range of pus from the subcutaneous abscess, spread to the ischiorectal fossa, from the ipsilateral through tissue space spread to the contralateral, and sphincter between into the anus, to puncture into the levator ani muscle the formation of pelvic peritonitis; or to the adjacent organs such as rectum, bladder, vagina, urethral erosion ulcers wear out, forming various types of complex anal fistula.
Therefore, in the abscess formation, such as not in time for early cutting treatment, not only increased the invisible pain, and the harm to the human body is also very serious.
A perianal abscess with antibiotics, hot water bath and local physiotherapy can disappear, but most require surgical treatment.
The treatment of perianal abscess is contraindicated
Since most perianal abscesses require surgical incision and drainage, attention should be paid to the treatment of perianal abscesses