2020年9月2日星期三

what does a hemorrhoids look like,Is it a myth that hemorrhoid surgery is painless?

    First of all, from the first step of our outpatient examination, we must always think of every action to make the patient feel painless, to be gentle and not irritable, because our anorectal outpatient clinic often performs anal digital examination for each patient, but this In finger examinations, patients often suffer unbearable pain. In a word, the movements are gentle, but there are not many doctors who can really do it and treat the patient's pain as their own.

    In addition, it is surgery. If the postoperative pain is mild or even painless, it needs to be truly minimally invasive. Minimally invasive surgery generally has the following advantages: 1. The surgical wound is small and the skin damage is less; 2. The pain is light, the patient feels less pain, and the pain is mild during and after the operation; 3. Fast recovery; 4. Short hospital stay; 5. Less bleeding. Speaking of minimally invasive hemorrhoid surgery, many people will first think of PPH, laser, no-knife removal of hemorrhoids, no surgery, no injections, no medicine, and follow-up, catching the patient’s fear of pain and not wanting surgery, but these Is the operation really as ideal as advertised? During the early academic promotion of PPH surgery, he said: It is minimally invasive and painless, and patients can participate in work 24 hours a day, but what about it? Since the establishment of PPH surgery, there have been many stubborn complications. Some people have anal pain after the operation, and some people have stool blocked under the anus. Even now many doctors and patients are afraid of PPH surgery. And some so-called injections are good. Either hemorrhoids are injected with necrotic agent, which causes anus ulceration, or hemorrhoids are injected with sclerosing agent, which recurs after a short time. However, some laser and HCPT procedures are nothing more than high-temperature cauterization, similar to the electrosurgical knife used in surgery, and they can't be precise. In recent years, combined with nearly 20 years of experience and learning, I have created a “high ligation of mixed hemorrhoids to preserve anal epithelium and padding, subcutaneous tissue stripping technique for external hemorrhoids, skin bridge cutting and suture technique, and internal opening under direct vision of anal fistula. Minimally invasive surgery such as high anal fistula, high open low incision and drainage. The operation is fine, precise, minimally invasive, and has little damage. It basically solves various complications and sequelae problems that plague anorectal professionals. Specific minimally invasive The surgical method will be described in detail in another minimally invasive anorectal surgery article. After the operation, some patients who expect that the wound may be painful, we can inject long-acting analgesics into the surface of the wound to achieve long-acting postoperative anesthesia and reduce pain. Moreover, after the end of the operation, the wound will not be stuffed with gauze, and the drainage tube will not be inserted. There will be no feeling of unbearable bulge in the anus after the operation.

    For postoperative recovery, we use methods such as traditional Chinese medicine fumigation and bathing and microwave therapy equipment. In addition, we change the dressing twice a day to clean and disinfect the wound surface to prevent wound infection, which not only reduces the pain caused by the operation, but also speeds up the wound. Time to heal. Our department also has our unique method of dressing change. Use two fingers to gently open the patient's anus, so that the space of the anus can be opened, and then gently wipe with cotton silk instead of the general hard insertion of the anus to wipe the wound. The method is to make the dressing change painless.

    In the past, due to the limitations of medical technology, patients suffered from illnesses and operations were more painful, making most patients suffer from long-term illnesses because of fear of operations, and finally they had to undergo surgical treatment. Now the "painless minimally invasive technology" has been maximized. As long as the conservative treatment is not effective and the disease recurs, patients can choose painless, minimally invasive surgery. Early treatment has less trauma, fast healing, and is more conducive to the recovery of anal function. Therefore, I recommend that anorectal diseases be early Treatment is good. It is best for unborn women to have hemorrhoids surgically removed before preparing to become pregnant to prevent the induction and aggravation of hemorrhoids during pregnancy and childbirth. In addition, some patients with hemorrhoids have intractable constipation or other anorectal diseases. Our treatment The principle is that a variety of anorectal diseases can be removed in one operation, and many patients with outlet obstruction constipation can also be completely resolved by surgery, so that the patient can completely relieve the "worries of the back thigh".

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