Submission of the rectum implies the introduction of a special tool into the cavity in order to conduct diagnostic or medical events. Bug is a tool that is introduced into the rectum. This procedure It can be assigned after the operation on the rectum (for example, after removing hemorrhoids), as a result of which the rear passage occurs, which makes a painful defecation process.

Bug is a tubular tool that can be made of synthetic material, rubber or metal. It is injected into the necessary depth, while the painkillers of local or common is used. If the bunning is carried out as therapeutic therapy, each new procedure implies the use of a larger diameter. This allows you to expand the anal channel and prevents its narrowing.

Today, the most popular and effective tool For the expansion and treatment of the disease of the rectum is pneumatic bodging. Such a procedure does not require a common anesthesia and is performed by inflation to entered in the anus buckow-cylinder.

Appointment to procedure

The narrowing of the anal canal can trigger not only the diseases of the rectum, but also other pathological processes occurring in the body, or external factors. An indication of this procedure is such reasons:

• injuries of the anal opening or rectum;
• thermal or chemical damage;
• congenital pathology;
• tumors;
• inflammatory diseases;
• paraporates;
• crohn's disease;
• long-term amoebic dysentery;
• intestinal tuberculosis;
• aktinomikosis rectum.

Some surgical diseases of the rectum are subject to an operational method of elimination, the consequences of which may be the narrowing of the enlightenment of the anal channel. For example, provoking the narrowing of the rear passage can operation to remove hemorrhoidal nodes or tumor tumors.

Hemorrhoid removal operation often occurs under the action local anesthesiaThat does not always allow fully relaxing muscles. This is one of the reasons that leads to a narrowing of the rectum. Also, the anal channel may be narrowed due to the fact that in the process of operation, the surgeon leaves not enough mucous membranes.

Such a disease of the rectum as malignant tumorsIn most cases, a surgical method of treatment is subject to a surgical method. In the process of operation, the tumor is excised within healthy tissues. That is, the rectum can be removed completely or mostly.

In the event that the treatment of the disease is required to remove the distal part sigmid gut, when crossing its free end with anal area there is a strong tension. In the period after such an operation, there are plenty of factors that are able to provoke a narrowing.

Technique of rectum borneling procedure

Before the feeding procedure, the patient must prepare himself. It is not recommended to eat food and drink fluid. The last meal must be no earlier than 6 hours before visiting the manipulation office. Water is allowed to drink 3-4 hours before the procedure.

Burning is carried out on a pre-purified intestine, so in the evening before the treatment procedure, the patient needs to put a cleansing enema.

Before proceeding with the borneling, anesthesia is injected with a patient. It can be common, local or sacral. The kind of anesthesia is selected by a anesthesiologist, based on the individual characteristics of the patient. Preference in most cases is given to the sacred method of anesthesia, since this method practically does not have contraindications and therefore is considered the most favorable.

The patient laid on the couch. After the anesthesia works, the patient's pre-lubricated poles in the glove in the anus is introduced into the anus. With this inspection, the anatomical feature of the rectum and the degree of its narrowing is determined. After such an inspection, the corresponding buck is selected. It should be a little wider than the diameter of the narrowed anal canal. If pneummaging is used, then after introducing it to the anal hole to the desired depth, the doctor begins to gradually supply air until the buck will reach the desired diameter. When bucking is installed, it is left in the rectum for 30-40 minutes.

The course of treatment and the residence time of the depth is determined by the doctor based on the causes and degree of the disease of the rectum.

Independent treatment of correction of the structure of the anal channel is possible, but before making any actions, it is recommended to discuss them with a doctor.

Purification procedure is independently difficult. For this reason, you should use the help of relatives. To relax the muscles of the sphincter during the procedure, the patient is recommended to take a hot bath. As an anesthetic, you can use a rectal candle containing lidocaine in its composition. The glove on the arm is put on the glove, lubricate the daisy Vaseline and gently introduce it into the anal hole. Initially uses a little finger, since this is the thinnest finger. In the process of further treatment, an extension diameter should be increased, so other fingers are used.

An independent treatment method is most common with congenital pathologies. With dense scar structures that are practically not amenable to stretching, surgery is shown.

2014-11-01 15:53:56

Asks Alena:

Hello! Help please. I recently (3 weeks) ago they made an operation to remove hemorrhoids, cracks and polypa. The operations were serious bleeding so it was not necessary to do without enema. And now, whether everything is narrowly wars, whether there is no exceeding for the enema for 2 months. Hello, the doctor says that there is no essential to feed. Not once, it did not bring relief in terms of the campaign to the toilet, I myself can not go at all. It's uniform. But the laxatives do not help. The stomach will turn me away and everything. The doctor says that irrigoscopy must be done but it is too early to wait for another 1 month. What is it and how much and how to be next? I tried to put tampons but not at the site of the defiation as a doctor said, but much higher, how herself thought, about 18 cm above the anal hole, the tampon scattered from the oil and after removing it after half an hour later there was a chair. Dried solid small car lumps. Help than you can. Thank you.

Replies Tkachenko Fedot Gennadevich:

Hello Alain. Very similar to addiction to the enema. If without an enema does not appear to be rewriting, it may indicate addictive to the formulation of the enema. What you do auction correctly and if the finger freely comes and you do not feel the narrowing of the anal channel, then you do not have to talk about the stricture of the anal canal. Try now to pember the following laxatives: "Mukofalc" 1p 3 times a day (package dissolve in 1/2 of the vehicle, drink and drink 1/2 of the glass of water) + Vaseline oil on 1st. Supply 3 times a day during meals. Also gradually reduce the volume of the enema and put it only when you call the emptying. Be sure to continue to be observed at your operating surgeon. I am confident that everything should be normalized. It may also be advisable to consult a qualified gastroenterologist for the selection of treatment to normalize the intestinal work.

2014-06-18 20:50:44

Asks Vitaly:

Good day. After the operation on the removal of chronic deep crack fastener, I had a new attack - got hemorrhoids. What to treat?

Replies Medical consultant portal "Site":

Hello, Vitaly! It is now very important to eliminate factors predisposing to the development of anal crack and hemorrhoids - most often it is constipation. For this, a comprehensive non-media treatment, including a faith with a low-tech lifestyle, compliance with the recommendations on the organization of the day regime, diet therapy, regular sports. Exercises are recommended with the involvement of the abdominal press muscles, buttocks and anal sphincter. The diet should enrich products with large content fiber - fruits, vegetables, bran wheaten, cereal, grain bread made of coarse grinding flour, greens, salads. It should be abandoned smoking and alcohol. If you have constipation - you need to find their cause and eliminate. After defecation, it is necessary to wash the rear passage area with cool water. From drugs for treating hemorrhoids shows a course reception of phlebotonics. At the first signs of aggravation and inflammation of hemorrhoidal nodes, local anti-inflammatory drugs can be used in the form of rectal candles, such as Candosal Candles. Rectal candles Proctozol have anti-inflammatory, painkillers, binders and healing effect. The nature of the treatment (drug and non-drug) must be discussed with the attending physician. Take care of health!

2013-08-04 11:11:36

Asks Yuri:

good day
i made an operation to remove hemorrhoids
but I had a problem
every morning after I went to the toilet with me appears inside the pain effect (not immediately and over time) it seems to be in the toilet, as it were, but in the toilet I go and can not go like a compressed and so stupid it's a dull pain keeps up to two or three o'clock in the afternoon Patus gradually passes
he turned to his attending doctor, she just wrote to Nospa and all
what can be done??????????

Replies Tkachenko Fedot Gennadevich:

Hello, Yuri. Try to change with the oncoming microclism. In the event of a call on the shredding, enter the water-fat microclism (100ml sunflower oil + 100ml of water) + After the labels, wait the crotch with warm water and enter the ointment "posts". Continue to be observed at your operating surgeon.
With respect, Tkachenko Fedot Gennadevich.

2013-03-30 11:47:46

Asks Julia:

Hello! 28 days ago transferred an operation to remove hemorrhoids 3 with thrombosis of the node + anal crack + fringe. A minimally invasive coagulation method was used. Recovery proceeds normally. Chair 3 times a day. But I can not decide to allow the doctor to examine me inside, because The edge of the anal hole still hurts. At the last examination, the doctor recommended me to make a fodder with an index finger with an ointment, every day. The first day after the recommendation I did this procedure quite easily. On the second day there was a difficulty. On the torch day, the finger entered only half of half. And on the fourth could not be introduced at all - I can't relax, and that's it! At the same time, every time the feeling that I rubbed something there - after the procedure, blood appears during the chair. If I do not make a bunction - there is no blood. Caliac column about 1.5 cm. Is it worth not worried that something is wrong?

Replies Tkachenko Fedot Gennadevich:

Hello Julia. Will be more correct if these questions you will specify the operating surgeon. For my part, it will incorrect to give some recommendations without seeing the state of the anal channel at present.

2013-02-03 15:47:38

Asks Ivan:

Good afternoon, Fedot Gennadevich, 1, 5 months ago I was done to remove hemorrhoids. After the operation, a problem with a chair (constipation) arose. During the month, he took Dhehalak and a micro enema, if Duphalak did not help. Now refused drugs and enema, but a new problem arose, the urge to the toilet occur in 40 minutes - 1.5 hours in fact during the day, but there are breaks for 6 -12 hours for about once every 2-3 days. At the same time, the chair formed, but it turns out in small parts with pain, if the break is large, then first is the selection of some kind of mercy with blood. I would like to know your opinion on this possible recommendationsMaybe in practice you earlier had to dock with a similar problem. Thanks in advance.

Replies Tkachenko Fedot Gennadevich:

Hello, Ivan. It is difficult to say in absentia what is the cause of your problem. Presumably you can think about the fact that you have or formed a carbon stone of the rectum or stricture (narrowing) of the anal canal. You need to visit your operating surgeon for postoperative inspection. If this is really a hollow stone, then it needs to be removed, and if the stricture is to carry out a bunning (expansion) of the narrowing of the anal channel. However, it is possible that there are some other reasons for your problem. This can be found only after inspection.

2012-09-19 11:18:14

Asks Natalia:

Hello, I made an operation to remove the hemorrhoids of the fringe and the anal crack of the Surgitron 3 weeks with the stroke of cracks and the fringe. Using ointment and baths. After the operation got out the outer knot from the fringe of the remote and hurts, Maja Troksevazin, the chair is thin and the liquid sensation of the channel narrowing and with a more dense felling and discomfort for a whole day and the feeling of temperature is small.
1When everything will heal and that blood comes out normally?
2kak to apply at home and how to anesthetize?
3Kak long ointment and baths do?
4 Possible to use Lidocaine 10% and a carcasezine gel together for anesthesia during auction (doctor of the proctologist's doctor)
5kak often apply?
6 When sex after surgery
question for Tkachenko F.G.

Replies Lukashevich Ilona Viktorovna:

Dear Natalia, here are the answers to your questions from Lukashevich I.V.: First of all, an adequate assessment of the situation requires a full-time inspection, especially since we are talking about the state after the operation.
1) Usually, the release of blood in a small amount is observed from 3 -4 days to 21-24 days and is associated with low injuries of the wound and then with the injuries of granulations, this is normal.
2 + 4 + 5) Yes, it is possible to use 5% or 10% lidocaine gel, pulling with your finger in the standard version of the postoperative flow, however, if there is a thrombosis, I do not recommend the bunction procedure at home.
3) After the operation made by me in the standard case, for 3 weeks after the operation, the bath must be made only after the defecation, and the lidocaine ointment only when a borneling, a carcasevazine or any heparin-containing gel or ointment is shown to treat thrombosis and should be used quite often - up to 5- 6 times a day.
6) in the presence of thrombosis with sex it makes sense to wait. And once again emphasizing your attention on the need for a full-time inspection for an adequate assessment of the situation.

2012-07-31 13:31:49

Asks artur:

Arthur. Age: 36.

Doctor, Hello!
5 weeks ago I have made an operation to remove hemorrhoids and I have a few questions, help, please!
1. Made pain (of course, not so sharp), after defecation - burning, pain and feeling that the intestine did not empty, the feeling of some "pebble" inside
2. On the examination of the surgeon almost in pain, the doctor says that everything is fine, but I somehow scary; Did it really be sick after 5th weeks?
3. Site relatively long I still can't (I use a lining circle) is it normal?
4. Until now, I take a laxative (1 tablet Senade), does this not hurt the work of the intestine in the future?
5. Sometimes the terrible itching "inside" begins, is abolished if I sit, what could it be? (I observe hygiene: shower, baths, constantly changing gauze napkin)
6.Will there are still mucous allocations (increase after defecation, sometimes traces of Sukrovitsy), after 5 weeks, is it normal?

Doctor, I probably asked too many questions, but please
consult!

Thank you!

Replies Tkachenko Fedot Gennadevich:

Hello Arthur. There are really many questions, but I will try to answer each of them.
1) after 5 weeks after classical hemorrhidectomy can really be observed painfulness In the anal canal after defecation, it is also ok what to sit uncomfortable.
2) So long to take the preparations of the Seine, I would not recommend, consult with your operating surgeon regarding the shift of the laxative.
3) Itchy in the anal canal is often observed during the healing of postoperative wounds, so this can also be considered a normal postoperative phenomenon.
4) SUROPROVIC AND MEASSOUS EXCESSMENTS CAN OB by 4-6 months after the operation, however, over time, their frequency should decrease.
With respect, Tkachenko Fedot Gennadevich.

2012-07-25 06:14:14

Olga asks:

Hello! In late May, I was made to remove hemorrhoids and sphincter cracks. After the operation, we made an armband with leafleep and baths with manganese. After 5 weeks, an incomplete fistula arose. The operation was made to remove fistula. Greenish discharge began to appear. (From my point of view similar to the PC). The doctor said that this is not a pus, but just selection. But he spent re-audit. He said that everything is clean. I did not find anything. I am currently discharged from the hospital. I observe the operating doctor and the Polyclinic Proctologist. After the revision passed 2 weeks. The allocations have become less, but they are present. We will have a bath with mangartee, ointment of Vishnevsky and Biopin. Antibiotics were not prescribed to me, since there were no temperatures above 37. I am very afraid of recurrence and repeated operations. A concrete answer about the allocations to me my doctor does not give. Says to treat. Tell me, what is this allocation and are normal. How long the pain may continue whether the course of antibiotics is needed or there may be any more radical treatments.

Replies Tkachenko Fedot Gennadevich:

Hello Olga. Such discharges are observed quite often after surgical interventions in the anal channel about chronic hemorrhoids, fistulant rectors and they still do not talk about what complications postoperative period. Especially since it is too early to talk about the emergence of a recurrence of the rectum fistula. So I would like to recommend you not to rush with various conclusions, do not panic, but continue to fulfill the recommendations of your operating surgeon. Antibiotics are currently not exactly necessary, and if you are interested in the state of postoperative Ran anal channel, you can learn not interested "second" opinion passing by a full-time inspection of some other qualified proctologist.

2011-10-08 09:04:13

Asks Vladimir:

In November last year, hemorrhoid-hemoroidectomy has suffered an operation. After the operation, worried the selection between the buttocks, after three months was at the doctor's reception and he said to me that this is mine anatomical features The organism and the allocation of laborers. Ten months have passed, and these allocations are disturbed and deliver discomfort. What to do and how can I be?

Endoscopic bunning is a methodology for expanding the lumen of a hollow organ or anastomosis in order to restore its passability. This manipulation refers to the category of therapeutic endoscopic procedures and is carried out using special tools - buzz.

Indications for feeding

• A rubric narrowing of the esophagus of II-IV degree as a result of a random or intentional reception of aggressive chemicals, peptic esophagitis, mycotic damage to the esophagus conducted earlier radiation therapy, sclerosation of varicosely expanded veins of the esophagus (with the diameter of the esophageal lumen is less than 11 mm).
• Stricking of esophageal anastomoses (esophagogro-, esophagoentheroanastomoses). Patients are based on the formation of stricture, but not earlier than 10 days after surgery.
• Scar narrowing of the anal canal, rectum or distal departments The sigmoid intestine after transferred inflammatory diseases (paraproatitis, Crohn's disease), operational interventions (hemorrhoidectomy), radiation therapy.
• Stricking of low-ranked interchessary anastomoses (after the operation of a low front rectification of the rectum, resection of the sigmoid intestine).

At the branch of the endoscopy of the Installation Research Institute of Oncology, the esophageal is applied in the treatment of tumor stenosis of the esophagus, but is not a final treatment method, and solves the task of a short-term expansion of the esophageal lumen in the place of circularly propagating tumor before carrying out brachytherapy, installing the self-invalid stent (if the diameter of the brachytherapy probe or delivery device The stent exceeds the diameter of the body's lumen).

Burning procedure

At the Endoscopy Department of Oncology. N.N.Petrov is applied by the rigging method of strictures on the guide string without using the X-ray installation.

It lies in the installation of a flexible or more rigid metal string along the biopsy channel of the endoscope for the area of \u200b\u200bthe narrowing, followed by the conductor, as on the forwarder, plastic buzzles of different diameters, ranging from the smallest. For the bunction procedure, we apply savary type bulges with a cone-shaped distal end and an internal channel throughout the buckwheel.

This technique has a number of advantages over similar interventions performed under X-ray control. First, it allows you to perform a borneling predominantly outpatient due to the minimum risk of complications. Secondly, the presence of a conductor allows you to successfully apply even complex, extended strictures with an incomplete course, as well as strictures with an eccentric arrangement of the entrance. Thirdly, there is completely no radiation load on the patient and a doctor

A specialist performs a study using a small diameter endoscope. During the study, the localization of the upper edge of the narrowing is estimated, the diameter of the narrowed plot and its length (if possible).

An important task for a specialist is to conduct an endoscope through a narrowing, because This will allow not only to set the length of the stricture, but also to evaluate its move, direction, make sure there are no double or multiple narrowings, fistula strokes, diverticulus, which will avoid complications. If the endoscope does not fail for a narrowing, then an attempt is made to hold the string blindly, which is also safe for the patient, because The string is carried out by its soft end. In rare cases, the string cannot be carried out through a narrowing, which is observed, for example, with a full scarring of a battle, or with a pronounced bending and spike of a plot of narrowing, all this is considered as a contraindication to perform auction and a patient a radiographic study is prescribed with a water-soluble contrast agent to establish the cause of the causes difficulties.

Burning begins with a making of a small diameter that does not exceed the diameter of the most narrowed area. Then the buck is replaced by the next, larger diameter. During one session, it is used from 2 to 3 bucks. When applying, the specialist determines the degree of rigidity of the stricture on manual sensations, which allows it to control the accompanying effort, limiting the violent overcoming of excessive resistance of scar tissues, and thus increases the safety of intervention.

During the injury, the patient may experience moderate pain.

Duration and frequency of treatment

The duration and specificity of treatment largely depends on the individual characteristics of the patient and the specific picture of the disease. Treatment in general consists of basic and supporting courses and is completed by dynamic observation.

• The main course of treatment to achieve the lumen of the hollow organ 14-15 mm and the anastomoses of 19-20 mm includes at least 4-5 sessions that are conducted with an interval of 3-4 days.
• After graduating from the main course of treatment, the borge is carried out with a frequency of 1 times a week before the result stabilization, i.e. When, with the next visit, the patient will not be marked by the repeated narrowing of the lumen by more than 1-2 mm. The next interval between procedures is 10-14 days and subsequently increases to 3 weeks, and then in the absence of stenosis - up to 1 month. For warning repeated occurrence Stenzes supporting treatment is usually long and is 3-6 months.
• With a positive result of supporting endoscopic treatment, a dynamic observation is underway 1 time per year. In patients with strictures of the esophagus, if necessary, a bunning is performed 1-2 times a year. After the full-fledged course of supporting bumping, re-treatment with strictures of esophageal anastomoses, as a rule, is not required.

Our results

Burning is a highly efficient treatment procedure. The specialists of our branch achieve good results in solving such complex tasks as:

• Restoration of independent oral nutrition in patients with critical stenosis of esophagus and esophageal anastomoses of IV degree (lumen less than 3 mm), as well as in patients with high localization of the upper edge of the narrowing (pharyngeal esophageal transition, the cervical esophagus).
• Elimination of the threat of intestinal obstruction without re-operational interference in the stenosis of intercheknye anastomoses, rigid post-themost strictures of the rectum.

Possible complications

The bunction procedure if it is performed on the conductor, with a phased transition from a smaller buckwheel to more without unnecessary forcing, is the least traumatic and most safe method Treating stricture of hollow organs and anastomoses. In the process of performing the procedure, there are usually shallow longitudinal oversight of the rubrics altered mucosa in the area of \u200b\u200banastomoz or on the wall of the organs of the organs, and which there are short-term slight blood leakage, stopping themselves. However, the complications are still possible, and the perforation of the organ wall is most serious, to eliminate which surgical intervention may be required, as well as bleeding from the edges of the deep break of the mucous membrane, with which it is almost always possible to cope endoscopically.

Preparation for the procedure

Burning upper departments gastrointestinal tract We are carried out strictly on an empty stomach, completely eliminated meals for 12 hours and fluid 6 hours before the start of the procedure. If you do not celebrate pronounced difficulties when passing food on the esophagus or the delay in the nutritional masses in the stomach for a long time, then the last eating is on the eve of 18.00. If you celebrate the above symptoms, the last meal in the form of light lunch should be no later than 13.00 a day before the procedure.

The procedure for bunning stricture of the colon or intercircuit anastomosis is carried out only after cleansing the colon. To perform the preparation of the colon, see "Preparation for colonoscopy" in the "Colonoscopy" section. With low strictures of the colon, as well as in the case of critical strictures with a diameter of no more than 4-5 mm (especially if you are a systematic long-term delay in the head of the chair and gases), the preparation of the colon should be carried out using enema.

It is necessary to cancel the oral anticoagulants (drugs for blood liquefaction) on the eve of the study, pause p / k administration of heparin 4-6 hours before the procedure

Balloon dilatation of the stricture of the gastrointestinal tract can be performed under intravenous anesthesia. If the study is carried out under anesthesia, receiving any amount of fluid to the procedure is strictly prohibited. Control vehicle After the end of the study is undesirable and may pose a threat to life and health.

The essence of such a procedure as a bumming is to expand the anal channel, which is often narrowed after the operation to remove hemorrhoids, as well as as a result various diseasesinjuries. To expand the rectum, the pneumatic method is used - the expansion of the anus with the help of a blown balloon.

The narrowing of the anus can have both congenital and acquired character. This is due to a number of reasons, among which:

Due to the narrowing of the rear passage, a person experiences inconvenience, especially during the intestinal emptying. Moreover, the following symptoms are observed during stenosis:

• bleeding from the rear pass;
• regular;
• selection of stool with thin stripes;
• feeling of gravity in the intestine after its emptying;
• After each meal.

Subject to expand the diameter of the anal channel. Its essence lies in the introduction into the rectum of the buckwax - tool in the form of a tube, which is left at the required depth of half an hour to 40 minutes. Thanks to this, the channel can be made wider and reduce the risk of recurrence.

If the rear pass narrowed, then several consecutive feeding procedures are required, each of which implies the introduction of the magnitude of the increasing diameter. The procedure is carried out every 2-3 weeks, depending on how the narrowing is expressed.

Eliminate such degrees of the stenosis of the rectum:

• weak. In this case, an index finger is introduced unhindered into the anal channel under the condition of good lubrication;
• moderate stenosis. Difficulties arise with the introduction of the mother's maiden, the smallest diameter;
• heavy degree of narrowing. Finger It is impossible to introduce into an anal channel even with good lubrication.

Usually, the elderly suffer from narrowing the rear passage. In children, such a phenomenon is most often observed in infancy.

Note! Usually, the bunning is carried out at the first and second stage of the stenosis. A severe degree of narrowing requires surgical intervention - amputation or resection of the rectum.

Preparation rules

Submission of the rectum After the operation to remove hemorrhoids requires preliminary preparation. Patient follows:

Contraindications

The narrowing of the rear passage after removing the hemorrhoids can not always be adjusted using the administration procedure in the anal channel. A number of states and diseases do not allow it. These include:

• unsatisfactory patient health;
• violations of kidney functions;
• deviations in the activities of the heart muscle;
• disorders of respiratory functions.

All listed factors are contraindications to the conduct of bunning under general anesthesia.

Note! If the manipulation is carried out under caudal anesthesia (this is a way to introduce a solution of local anesthetic to a sacral channel), then there are no contraindications to its conduct.

Course of operation

How to treat the narrowing of the rear pass? The rectum is being published after anesthetic is introduced to the patient. Anesthesia can be common, local or caudal, depending on general status patient. The last method is the optimal choice, as it does not have contraindications.

Burning is carried out in this way:

Usually the therapeutic course consists of 4-5 procedures, which are held every 3-4 days. Upon completion of the main course, the injuries are carried out once a week in order to stabilize the result. Gradually, in the absence of stenosis, the interval between procedures reaches 1 month.

Rehabilitation period

The duration of the reduction period depends on the general state of the patient, its age, the presence of concomitant diseases or complications after the operation. Rehabilitation does not require the patient in the hospitalBut for the first few hours after the bunning, he must remain under the control of the specialist.

For reference. After the manipulation on the expansion of the anus, the patient needs to abandon food that annoys the intestines (salty, oily, acute), carefully follow the norms of personal hygiene.

Ways to independent anus expansion

Having a submission that such a rectification is, you can use folk remediescontributing to the expansion of anus without visiting medical institution. It should be borne in mind that independent attempts to apply an anal channel can cause damage to the rectum.