85 cases of anal fistula surgery preoperative clinic enema experience_0.docVIP

 PAGE \* MERGEFORMAT 7 85 cases of anal fistula surgery preoperative clinic enema experience [Keywords:] anal fistula; surgery; enema; effect Clean enema anal fistula operation of routine care before the operation. Using conventional methods of cleaning enema, enema often due to spillover, poured into the less, the retention time is short, to be repeated lavage, could easily lead to rectal mucosa, intestinal bleeding, water intoxication and even intestinal perforation and other complications [1], to cause unnecessary physical and psychological harm to patients. To reduce the risk of care, we care based on evidence-based approach, combined with clinical practice in our hospital in September 2009 in March -2010 85 cases of anal fistula surgery patients were suitable enema improved and achieved good results, are reported below. 1 Materials and Methods 1.1 General information on 85 cases of this group of patients, 44 males and 41 cases female, aged 17 to 80 years, mean 43.66 + -14.9 years. Mixed hemorrhoids, 66 cases (77.65%), 29 males and 37 females; anal fistula with rectal abscess in 17 patients (20.00%), 15 males and 2 females; thrombotic external hemorrhoids with anal fissure in 2 cases (2.35%) were female. in this group of patients without severe heart and lung diseases such as enema contraindications. 1.2 Methods (1) enema before the initiative to communicate with patients, inform enema aims, methods, to actively cooperate with treatment. (2) Zhu Huanzhe emptying urine as possible. (3) take the left lateral position, knees, head slightly Low to the pillow. (4) before intubation entire anal canal and anus lubrication, there should be sufficient lubrication hemorrhoids hemorrhoids highlighted surface. (5) was the level of anal-bit gently inserted into the anus, the navel towards the direction of patients into 3cm [2 ], a song off the flu (straight through the anal ring), and then change the direction of the anal canal tip, point tip of the coccy