Postoperative care for anal fistula

The basic principles of wound care after anal fistula surgery can be summarized in two words: clean and dry. Keep the wound clean. Anal fistula surgery incisions are generally open drainage incisions. One week after surgery is the period of necrotic tissue shedding. There is a lot of wound secretion, and feces remain after defecation. The local area can be cleaned with a drug bath or warm water. Be sure to wipe it dry with gauze after cleaning. This helps wound healing and prevents the formation of granulation edema.

1. Anal fistula patients should eat a light diet within 7 days after surgery and avoid spicy and greasy food to avoid increasing the intestinal burden, causing diarrhea, contaminating the wound, and hindering healing; after 7 days, it is recommended that patients strengthen their nutritional diet and eat foods rich in collagen, such as pig's trotters, chicken feet, pork skin, etc.

2. Maintain normal bowel movements and avoid dry stools and diarrhea. Patients with dry stools should drink more and sleep more, eat more bananas and apples, and take Ma Ren Run Chang Wan orally to relieve constipation when necessary; patients with diarrhea should take Zheng Chang Sheng orally, and fast and replenish fluids when necessary;

3. Try to reduce postoperative activities; walk slowly after 7 days and avoid strenuous exercise to prevent wound bleeding.

4. Keep the surgical area clean after defecation, clean the anus with normal saline, sit on the anal area with compound phellodendron liquid, and at the same time apply anti-inflammatory and muscle-growing ointment, such as Shengji Yuhong ointment, to the surgical area to promote wound growth.

5. After microwave treatment, you can use infrared lamp to irradiate the anal area to promote the absorption of inflammation, keep the wound dry, and facilitate the growth of granulation tissue.

6. Emotionally guide medical staff to comfort patients, distract their attention, reduce tension and anxiety, encourage patients to defecate independently, and enhance their confidence in overcoming the disease. Minimize the use of painkillers and explain to patients that excessive use of painkillers after surgery will affect wound healing. 7. Go to the hospital regularly to change dressings to avoid false wound healing;

8. Increase nutrition and eat more foods rich in protein and collagen;

9. Keep bowel movements smooth and avoid diarrhea or dry stools.