[New technology] The gospel of people with "hemorrhoids"--selective hemorrhoid mucosal resection
Department of Surgery, Guizhou Medical University
Figure 1: Preoperative, intraoperative, postoperative, and resection of the hemorrhoid mucosa
According to Dr. Yin Zhaohui, TST was developed on the basis of PPH in recent years. It uses an open-loop minimally invasive hemorrhoid stapler to treat hemorrhoids as a new minimally invasive surgical method. TST surgery follows the formation mechanism of human hemorrhoids and is designed in accordance with the physiological and pathological structure of hemorrhoids. It aims to correct the pathophysiological changes of hemorrhoids, rather than removing all the anal cushions, retaining normal anal cushions and mucosal bridges, and maintaining The fine function of the anus can reduce surgical trauma, shorten the treatment time, and make hemorrhoid surgery more minimally invasive. During the operation, according to the number of diseased hemorrhoids, a single-port, double-port or three-port anal dilator is selected, and the stapler is used for one-time resection and anastomosis of the corresponding mucosa (see Figure 2). Compared with PPH, TST operation is simpler and less invasive. Because it retains the mucosal bridge, it has fewer discomforts and is safer. It is very suitable for day surgery, thereby reducing the economic burden of patients.
Figure 2: Schematic diagram of TST surgery
Dr. Yin Zhaohui also pointed out that although TST has many advantages, it is not suitable for all hemorrhoids; for ring-shaped hemorrhoids or the elderly with loose rectal mucosa, PPH is more suitable than TST; and for hemorrhoids with no more than 3 hemorrhoids The advantages of TST are more obvious, especially in the early stages of hemorrhoids. For people with "hemorrhoids", it should be noted that surgery is not a panacea, and a variety of methods (such as correcting bad lifestyles, bad eating habits, etc.) must be used to prevent recurrence after surgery; at the same time, the diagnosis and treatment of diseases advocate early detection Early treatment, and "preventing the disease" is the best choice, and hemorrhoids is no exception.
Photo: Yang Yunhong; Audit: Yin Zhaohui