Congenital megacolon on transanal radical Perioperative Nursing.docVIP

 PAGE \* MERGEFORMAT 9 Congenital megacolon on transanal radical Perioperative Nursing Congenital megacolon distal colon and rectum is a lack of ganglion cells, resulting in a narrow section of intestinal tract of spastic deformities, the incidence rate of 0.2 ‰ -0.5 ‰, male and female incidence rate is 3-4 times [ 1]. The disease can affect the growth and development of surgical treatment should be implemented as soon as possible. to use more traditional methods of surgical removal of lesions of abdominal method of bowel segment, there are long, complex operation, trauma, complications and other disadvantages. and through the anus Hirschsprung line operation, for children with injury, rapid recovery, radical surgery can achieve the purpose of Hirschsprung’s disease. Our hospital from August 2009 -2010 in August via rectal surgery Hirschsprung 100 patients achieved good surgical results, perioperative nursing now described as follows: 1 Clinical data The group of 120 patients, male 96 cases, female 24 cases, 18 cases of newborns, aged 2 months -1 60 cases, 42 cases more than 1 year of age, all children under the history of signs and barium enema X-ray examination, diagnosed as congenital megacolon, in which 66 cases of common type, 26 cases of short segment type, long segment type in 28 cases, 30 cases of children with severe malnutrition, anemia, etc., operation time 40-60min, are used caudal block combined with general anesthesia, operations were successful. 2 surgical methods After anesthesia lithotomy position to take, anus stretch opened in the middle of the dentate line after the 0.3cm-0.5cm incision rectal week at the ring, with small round suture needle 1 # perianal mucous membrane stretch, blunt isolated from peritoneal fold mucosa, rectal longitudinal muscle sheath incision, free to normal bowel intestinal stenosis 4 # line ligation of mesenteric vessels, normal colon pulled anus, bowel resection segment lesions, 0/3DG line with the