RPH, also known as automatic hemorrhoid ligation, is a surgical method for the treatment of hemorrhoids. The instrument used during the operation is called an automatic ligator. During the operation, the head of the automatic ligator is aligned with the internal hemorrhoids and hemorrhoids. The pressure suction draws the hemorrhoids into the head end of the ligation device, and after excitation, there will be rubber rings or elastic wires to ligate the base of the internal hemorrhoids, which has a therapeutic effect of causing avascular necrosis of the hemorrhoids to fall off.
The picture below shows the RPH ligature kit.
Principles of RPH treatment:
After bandaging, the mucosa shrinks and the anal pad is lifted;
Local inflammation causes adhesion of the mucosa, submucosa and superficial muscle layer, and the anal cushion is fixed at a higher position;
Partially block the blood supply of hemorrhoids or reduce venous backflow, reduce the hyperemia or blood flow of hemorrhoids, and cause hemorrhoids to shrink;
Ligating the base of the hemorrhoids directly can stop the bleeding immediately.
Hemorrhoids in each period (stage I to III have the best effect), mixed hemorrhoids and internal hemorrhoids;
For patients with hemorrhoids or anal cushion insufficiency after PPH or other treatments, RPH can be used as a supplementary treatment;
Others: focal lesions of the rectum, such as rectal polyps, rectal hemangioma or vascular malformations.
RPH advantages: simple operation, low cost, precise effect, minimally invasive pain, day surgery or outpatient surgery can be completed, and postoperative recovery is fast
§Minimally invasive surgical treatment of colon cancer, rectal cancer, low rectal cancer, anus preservation, colonic diverticulum, colon polyp, gastric cancer, gastrointestinal stromal tumor;
§Minimally invasive surgical treatment of various hernias (inguinal hernia, incisional hernia, parastoma hernia, hiatal hernia);
§ Minimally invasive surgical treatment of anorectal diseases such as hemorrhoids, anal fistulas, rectal polyps, hidden hair sinuses, and rectal prolapse;
§Minimally invasive surgical treatment of intractable constipation such as colonic slow transit constipation and outlet obstructive constipation;
§Minimally invasive surgical treatment of gallbladder stones and gallbladder polyps;
§Minimally invasive metabolic surgery for obesity and diabetes;