Doctor Liu Fuyingcong led the case
Patient: Male, 45 years old, from Meishan City, Sichuan
Main complaint: anal mass prolapsed with blood in the stool for more than 10 years, and worsened by 3 months.
Specialty status: (lithotomy position) prolapsed annular hemorrhoids can be seen at the anal margin, the size of the wound is 4*3.5, soft, and can be pushed, and hemorrhoid nodules can be seen on the upper circle of the inner tooth line of the anal canal, especially at 1-4 points, 7 Significantly at -11 o'clock, with obvious mucosal erosion and bleeding.
Diagnosis: circular mixed hemorrhoids with internal hemorrhoid bleeding
Surgeon: Chief surgeon: Liu Fuyingcong, First assistant: Dr. Wang Tingting
Operation method: Original plan: External stripping and internal ligation of circular mixed hemorrhoids, injection of internal hemorrhoid stump sclerosing agent; because the anal marginal incision and internal hemorrhoid erosion were found to have significant bleeding during the operation, the hemorrhoids were gently clamped and the hemorrhoids were found to be bleeding. High frequency electrosurgical surgery.
Anesthesia: Caudal block anesthesia + basic anesthesia