1. What is hemorrhoids?
The modern concept of hemorrhoids is the normal anal cushion on the upper part of the anal canal. Pathological hypertrophy of the anal cushion is called hemorrhoids. Commonly known as "hemorrhoids." Hemorrhoids are divided into internal hemorrhoids and external hemorrhoids by the serrated line of the anus. The symptoms of external hemorrhoids are mainly pain and itching, while the symptoms of internal hemorrhoids are mainly bleeding and prolapse of hemorrhoids after stool. Internal hemorrhoids are subdivided into four stages according to their severity: stage I is the only situation with blood in the stool; stage II is the stage when there is prolapse after the stool, whether there is bleeding or not, but those who can receive it on their own are stage II; The stage III is pushed back to the anus; the most serious stage IV is that the hemorrhoids usually prolapse outside the anus and cannot be returned to the anus. Generally speaking, hemorrhoids of stage I and stage II are mainly treated with conservative treatment, while hemorrhoids of stage III and stage IV are often treated with surgery.
2. What should I pay attention to when suffering from hemorrhoids?
In the initial treatment of hemorrhoids, you only need to pay attention to your diet, keep your stool smooth, and prevent complications. When the hemorrhoids bleed, prolapse or are painful, they need to be treated in the hospital. According to the size of the hemorrhoids, injection of sclerosing agent, surgical removal, etc. can be used.
In principle, non-surgical treatment is the main treatment for mild hemorrhoids, and hot water baths should be maintained every day. Keep the area clean, drink plenty of water, eat more dietary fiber, keep the stool unobstructed. When it is severe or accompanied by inflammation, stay in bed, treat with antibiotics, and apply topical ointment; when thrombotic external hemorrhoids are accompanied by severe pain, they should be treated under local anesthesia A fusiform incision was made to remove the thrombus, and take a bath with 1:5000 potassium permanganate solution once a day.
Severe hemorrhoids need to be considered for surgical treatment.
3. Revolution in the treatment of hemorrhoids in the minimally invasive era-PPH surgery, what is PPH surgery?
PPH surgery, also known as circumcision of prolapse and hemorrhoids, is a new technique for the treatment of prolapsed hemorrhoids with a stapler. It uses a stapler to circularly excise the rectal mucosa at 3 cm above the anal dentate line (above the anal cushion) for one week. The prolapsed anal cushion is moved up to achieve the purpose of treating anal cushion prolapse; at the same time, the terminal branches of the arteries and veins under the rectum are cut and ligated, so that the blood supply of the unresected hemorrhoids is reduced, and finally the hemorrhoids gradually shrink (10-15 days after operation) to achieve the purpose of treatment.
4. What kind of patients is suitable for PPH surgery?
It is suitable for patients with stage III, IV and some severe stage II hemorrhoids.
5. What are the advantages of PPH surgery compared with traditional surgery?
Specifically, the benefits of PPH surgery are as follows:
①. Comparison of traditional surgery and PPH surgery time and recovery time:
About 5 days
②. Comparison of postoperative pain between traditional surgery and PPH surgery:
Pain is obvious
No pain (no need to change dressing)
③Comparison of other aspects of traditional surgery and PPH surgery:
Destruction of anal cushion structure
Maintain normal function of anal cushion
Effect on the physiological function of the anus
Easy to happen