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What is the prescription for postoperative nursing of colon cancer

August 15, 2023


Radical resection of rectal cancer, because the lesion is close to the anus, often can not retain the anus and colostomy in the left abdomen, that is, called "artificial door", from which the stool is excreted. There are the following points for attention in postoperative nursing:

First of all, it is necessary to relieve the unnecessary ideological burden and keep a good mood. For patients with anal reconstruction due to surgery, because the artificial anus has no sphincter, and there is an abnormal smell all over the body, patients often have an ideological burden, so it is necessary to explain and encourage, and help and guide patients to do a good job of artificial anal nursing. To make the patient understand that anal reconstruction is only the transfer of the anus from the perineum to the abdomen, no one looks at it strangely, he can completely control his own defecation, and he is no different from a normal person.


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Or let him know that only the patient knows that the anus is in the abdomen, and no one can discover the secret. Secondly, attention should be paid to the cleaning and protection of artificial anus. Early sleep after surgery should take a lateral position, so that one side of the artificial anus is on, so as to avoid fecal contamination of the wound and cause infection. The skin around the artificial anus should be kept clean. After each defecation, scrub with warm water and apply Vaseline ointment to protect the skin. Regularly use the finger cover to expand the artificial anus, when the stool becomes thinner, expansion is more necessary.


In addition, we should gradually develop the habit of regular defecation. If you have no bowels for a few days, you can take laxatives or go to the hospital for artificial anal enema. In order to prevent diarrhea, we should pay attention to dietary hygiene, and eat less cellulose food or raw cold, greasy food. If the patient has weight loss, sacral pain, perineal lump, abdominal mass, ascites, hepatomegaly, he should go to the hospital in time for early detection of metastasis.

Patient evaluation