2020年9月3日星期四

what does a hemorrhoids look like,Classic question and answer for hemorrhoid surgery

    1. People say "ten people have nine hemorrhoids". How high is the incidence of hemorrhoids?

    According to statistics, about half of people over 30 years old suffer from hemorrhoids. They often go through long periods of self-treatment before seeing a doctor.

    2. Why do I get hemorrhoids?

    The exact cause of hemorrhoids is unclear. However, the following factors have a certain relationship with the onset of hemorrhoids.

    1. Age, the older the age, the higher the incidence.

    2. Chronic constipation and diarrhea can cause hemorrhoids.

    3. In late pregnancy, uterine compression causes poor venous return, prone to hemorrhoids.

    4. Genetic factors.

    5. Excessive force during defecation, squatting on the toilet for a long time.

    3. What are the symptoms of hemorrhoids?

    Dripping blood during defecation, with or without prolapse of the anal mass, in severe cases, it is necessary to push the mass back into the anus by hand. Sometimes accompanied by itching and pain around the anus.

    4. How to treat hemorrhoids?

    The principle of hemorrhoid treatment is to eliminate symptoms. According to different clinical manifestations, different treatment methods can be selected.

    1. Rubber band tying method.

    It is suitable for patients with mild symptoms and not serious prolapse symptoms. The basic principle is to use a rubber band to ligate the internal hemorrhoids. One week later, the ligated hemorrhoid tissues die and fall off. The biggest advantage is that the treatment process does not require anesthesia, the operation is simple, it can be completed in the doctor's office, and normal work can be resumed in 1 day. The main disadvantage is the high recurrence rate. Each operation can only ligate 2-3 groups of hemorrhoids, which may require more than 2 treatments.

    2. PPH surgery.

    Also known as stapler hemorrhoid fixation, a special stapler is used to circularly remove a section of the rectal mucosa, the prolapsed hemorrhoids are lifted and fixed, the blood supply of the hemorrhoids is partially blocked, and the symptoms of prolapse and bleeding disappear. Compared with traditional hemorrhoidectomy, the pain is less and it has a good effect on prolapsed internal hemorrhoids. The main complications are bleeding and anastomotic stenosis, but due to the continuous advancement of surgical techniques, the incidence is very low. The operation needs to be performed under anesthesia and does not need to be hospitalized. After the operation, you can go home, eat normally, and defecate is not affected.

    3. Hemorrhoidectomy

    If hemorrhoids are particularly severe or there are many external hemorrhoids, hemorrhoid resection will be inevitable. The basic principle is to remove hemorrhoids in groups and try to preserve normal skin to avoid postoperative stenosis. Postoperative pain is severe, but due to the advancement of surgical technology and the application of long-acting analgesics, the postoperative pain after hemorrhoidectomy is now completely acceptable. Traditionally, after hemorrhoids are removed, hospitalization is required for a period of time, and anti-inflammatory and analgesic drugs are used, which is no longer needed. Most of the patients do not need to be hospitalized. After a short observation, they can go home on the day of the operation.

    5. Talk about minimally invasive surgery for hemorrhoids

    The above-mentioned hemorrhoid treatment method is an internationally recognized standard surgical method. After a long period of verification, it has high safety and efficacy. At present, you can see a lot of promotion methods for minimally invasive treatment of hemorrhoids on the Internet. For example, HCPT is the use of electric knife to remove hemorrhoids. The electric knife is just a surgical tool and has nothing to do with minimally invasive surgery. Improper use can cause serious damage to the roots. Therefore, patients are reminded not to believe in the so-called minimally invasive surgery. The quality of surgery is always the most important factor.

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