There is an eye on the child's asshole

There is a hole on the child's anus, which is most likely a symptom caused by anal fistula. Anal fistula has a relatively large impact on children. Parents need to take their children to the hospital for treatment in time so that the children can recover as soon as possible. Otherwise, if the condition worsens, it will have a great impact on the child's anal health. Below we will introduce the treatment methods of anal fistula in detail!

1. Fistulotomy

It is suitable for simple low-position anal fistula. During the operation, a probe is used to check the entire length of the fistula, and the fistula is completely incised along the probe. The granulation tissue inside the fistula is scraped off to make the wound surface V-shaped. Fill the wound with oil gauze. After 2 to 3 days, take a sitz bath with 1:5000 PP powder or hot water every day to keep the wound clean. During the entire treatment process, attention should be paid to ensuring that the granulation tissue of the incised wound grows from the base to the superficial surface and finally heals completely. Therefore, it is very important to regularly observe the wound and change the dressing. Local application of muscle-growing ointment or growth hormone preparation dressing 2 to 3 days after surgery can accelerate wound healing.

2. Hanging Thread Therapy

Suitable for high-position simple or complex anal fistula. This method can avoid postoperative anal incontinence caused by the rupture and contraction of the sphincter after a single incision. It is widely used clinically, easy to operate, and can be performed in outpatient clinics. Its disadvantage is the high postoperative recurrence rate, which is mainly related to the surgeon's incomplete exploration of the branches and internal opening. High-positioned complex anal fistula can be transformed into a simple anal fistula through multiple thread placements.

Surgical method: Under anesthesia, first insert a probe from the external opening, pass it through the internal opening along the fistula, tie a rubber band on the probe at the internal opening, and then lead the rubber band from the internal opening through the fistula to the external opening. Cut the skin between the inner and outer openings and tighten the rubber band to tie it off. The sutures can be tightened again 3 to 5 days after the operation. Generally, the rubber band will fall off within 2 weeks after the operation, leaving an open wound to gradually heal. If the rubber band does not fall off after 2 weeks, you can use scissors to cut the tissue bound by the rubber band.

3. Anal fistula resection

It is generally suitable for low-position simple anal fistula, but in recent years many scholars have applied this method to high-position anal fistula and complex anal fistula. The method is to remove all fistulas at one time, and the wound surface is healthy normal tissue, which is smaller inside and larger outside. Superficial wounds can be sutured throughout the thickness of the wound and the stitches removed after 5 days. Most wounds can heal in one stage. Deeper wounds should be left open. When performing resection of a high anal fistula, the deep part of the external sphincter should be separated, and if it needs to be cut off, care should be taken to suture and reconstruct it.