What to do if getting hemorrhoids?
Different types of hemorrhoids are treated differently. Such as drug therapy, injection therapy, band ligation therapy, cryotherapy, microwave therapy, radiofrequency therapy, surgical therapy, etc. Generally speaking, asymptomatic people do not need treatment. For those with degree 1~2, general treatment can be effective. Including avoiding irritating foods, drinking more water, eating more dietary fiber, maintaining smooth stools, preventing and treating diarrhea, taking a bath in warm water, keeping the perineum clean, doing anal relaxation and contraction exercises, topical use of suppositories and ointments to protect the mucous membrane, etc. Of course, microwave therapy, radio frequency therapy, apron band ligation therapy, etc. can also be used as appropriate for 1-2 degree internal hemorrhoids, but care should be taken to prevent complications. For internal hemorrhoids of 3-4 degrees, mixed hemorrhoids and thrombotic external hemorrhoids, most of them require surgical treatment. The method of surgery should also be selected according to the patient's condition and the experience of the operator. In addition to the above various therapies, a new technique for the treatment of hemorrhoids-PPH surgery has emerged in recent years.
Based on the new concept of the cause of hemorrhoids-the theory of lower anal cushion, Italian Longo first adopted stapled prolapse and hemorrhoids circumcision in 1998, also known as PPH operation, which is the abbreviation of "Procedure for Prolapse and Hemorrhoids" in English, Chinese meaning It is a "treatment method for prolapse and hemorrhoids". The principle of PPH surgery is to circularly remove the rectal mucosa tissue above the hemorrhoid area, and use a stapler to anastomose the rectal mucosa so that the prolapsed anal pad is suspended upward and returns to the normal anatomical position. At the same time, the blood flow is reduced due to the cutting of the branches of the artery, causing the hemorrhoids to gradually shrink.
Compared with traditional surgery, PPH surgery has obvious advantages. First of all, PPH surgery does not remove the anal cushion, which preserves the function of the anus to the greatest extent and avoids complications such as anal stenosis and anal incontinence. Secondly, the surgery removes the rectal mucosa located on the dentinal line without any damage to the perianal skin. There is no pain after the operation; at the same time, the non-open wound after the circular resection of the mucosa with the stapler eliminates the trouble of dressing after the operation. The patient has a short hospital stay and can quickly return to normal life. For some complicated hemorrhoids, such as mixed hemorrhoids, circular hemorrhoids, severe hemorrhoid prolapse, prolapse, etc., PPH shows its unique treatment advantages. Especially the epoch-making revolution in the treatment of severe hemorrhoids.
The surgical indications of PPH are: internal hemorrhoids of degree III and IV with annular prolapse; internal hemorrhoids of degree II with repeated bleeding; prerectal bulge and internal rectal prolapse that cause functional constipation at the outlet. PPH surgery is not suitable for mixed hemorrhoids, connective tissue external hemorrhoids and incarcerated hemorrhoids.