When does hemorrhoids need surgery? For hemorrhoids, the indications for surgery should be strictly controlled. Asymptomatic hemorrhoids do not require treatment. The purpose of treatment of symptomatic hemorrhoids is to eliminate and relieve the main symptoms of hemorrhoids. The adjustment of diet and living habits and appropriate medical treatment are very important and effective, and 80% can be cured. The hemorrhoids that really require surgery only account for less than 20%. This is because the anal pad, which is the original source of hemorrhoids, has important functions of sensing and controlling stool, so it is best not to remove it. Very rich nerves, extremely sensitive pain, the patient’s pain will be severe after the operation, and the anal wound will heal for a long time, which will bring more pain to the patient, and hemorrhoids will not become cancerous, so the operation should be strictly controlled Indications, we have already talked about the division of hemorrhoids in the section "What are the symptoms of internal hemorrhoids". Generally speaking, surgical treatment is only suitable for internal hemorrhoids. The symptoms of mixed hemorrhoids are serious, which obviously affect the life of the patient or cause anemia, and are non-surgical treatments. Invalid. Regardless of the surgical method, the anal cushion should be preserved as much as possible, and attention should be paid to avoid complications such as postoperative bleeding, anal stenosis, and anal insufficiency.
At present, the following four conditions are mostly used as surgical indications: ① Internal hemorrhoids of degree Ⅲ and Ⅳ; ② Internal hemorrhoids of degree Ⅰ and Ⅱ have a large amount of bleeding and conservative treatment is ineffective; ③ acute incarcerated hemorrhoids; ④ external hemorrhoids with symptoms and signs . There are many kinds of surgical methods, generally including various ablation procedures such as laser, cryotherapy, radiofrequency, copper ion, ligation, resection, PPH surgery, etc., which need to be selected based on the specific condition of the patient and the technical characteristics of the doctor.