Last week, I performed a PPH operation for prolapse of circular hemorrhoids + partial hemorrhoidectomy in the Eastern District. After the operation, he recovered smoothly and he had a bowel movement. Not discharged from hospital.
Attachment: PPH, also known as circumcision of prolapsed hemorrhoids, is a technique based on the theory of anal cushion and the use of a stapler to treat annular prolapsed hemorrhoids.
It is suitable for all kinds of hemorrhoids, especially patients with severe internal hemorrhoids and partial rectal mucosal prolapse. The principle is: retaining the anal cushion, and circularly resecting and anastomosing part of the internal hemorrhoids, supra-hemorrhoid mucosa and submucosa tissues, and an instant anastomosis. It not only blocks the blood supply of hemorrhoids, but also suspends and fixes the slipped tissues, and restores the pathological state of the anorectal to the normal anatomical state.
The traditional methods of treatment of internal hemorrhoids, including injection of sclerosing agent, rubber band ligation, and various forms of surgical resection, are aimed at treating the hemorrhoids themselves, aiming to shrink or disappear the hemorrhoids. Stapler circular hemorrhoidectomy is completely different from traditional methods in treatment theory. On the one hand, it avoids damaging the perianal skin and causing postoperative pain. On the other hand, it preserves the integrity of the anal cushion and avoids fine bowel control after surgery.
The mechanism of the PPH surgical method is to circularly remove the mucosa and submucosa of the intestinal wall at the lower end of the rectum near the upper edge of the prolapsed internal hemorrhoids, and perform an anastomosis of the distal and proximal mucosa at the same time to make the prolapsed internal hemorrhoids and mucosa Being suspended and pulled upwards, no longer prolapse. At the same time, the blood supply of hemorrhoids from the superior rectal artery in the submucosal layer was cut, and the blood supply of hemorrhoids was reduced after surgery. Therefore, the exact name of the operation should be: circumcision of the mucosa and submucosa of hemorrhoids, and anal cushion suspension.
What is the difference between PPH and traditional surgery? 1. The surgical site is in the anus, while the PPH surgical treatment site is in the lower rectum. Traditional surgery will remove external hemorrhoids, ligate internal hemorrhoids, and have wounds in the anus, which requires a denucleation process. Medicine, fumigation, dressing change. The wound is painful during defecation and can only heal gradually. The PPH operation site is in the lower rectum, and the resection and anastomosis immediately take only a few minutes. The anal cushion tissue is preserved, the anus is non-invasive, and there is no denucleation process. You can defecate normally on the first day after surgery, and you don’t need special dressing changes or fumigation. Traditional surgery needs to cut off the sphincter to prevent anal stenosis, while PPH surgery does not damage the sphincter, so anal stenosis or fecal incontinence will not occur. Traditional surgery is symptomatic treatment, while PPH surgery is to treat the cause. 2. PPH surgery retains the anal cushion, does not damage the anal sphincter, and has no surgical incision in the anus, which preserves the physiological function of the anal cushion to the utmost extent, so it has: 1. No pain after the operation; 2. Short operation time and little damage , Fast recovery; 3. No damage to the anal sphincter, no incontinence, anal stenosis; 4. Low recurrence rate of hemorrhoids, beautiful appearance.