Doctor Liu Fuyingcong led the case
Patient: Mr. Pan, male, 22 years old, from Wenzhou City, Zhejiang Province,
Main complaint: Anal mass prolapsed with blood in the stool for more than 1 year, and worsened with pain for 3 days.
Diagnosis: acute incarcerated circular mixed hemorrhoids
Operation date: 2015-11-18 Anesthesia: sacral anesthesia + basic anesthesia
Surgeon: Chief surgeon: Liu Fuyingcong, First assistant: Guo Hangyong
Operation method: segmental external resection and internal ligation of circular mixed hemorrhoids, injection of sclerosing agent on the stump of internal hemorrhoids
Specialty situation: prolapsed ring-shaped hemorrhoids can be seen at the anal margin, the size is about 5*4CM, soft and can be pushed, especially in 6-10, obvious edema, more thrombosis, dark purple, obvious tenderness, internal tooth line in the anal canal Protruding hemorrhoid nodules are seen in the upper and lower circles, especially at 7-9 o'clock and 11-12 o'clock, mucosal erosion and bleeding.
Summary: This patient is a severe ring-shaped mixed hemorrhoid incarceration, with hemorrhoids hemorrhoids heavier, obvious edema, more thrombosis, and the difficulty of operation is moderate to high. Inexperienced surgeons or low-age anorectal surgeons can easily remove too much If the hemorrhoid tissue causes anal stenosis, or the removal of hemorrhoid tissue is too small, the postoperative edema is obvious, and the pain is more pronounced; I take this operation very seriously, and I am more cautious during the operation. I have done comparisons in protecting the anal marginal skin and the anorectal mucosa it is good. The patient had better anesthesia during the operation, and there was no pain during the operation. Because I used a high-frequency electrosurgical knife to stop bleeding, there was little bleeding. After the operation, the wound was injected with long-acting analgesics. The patient's treatment cycle was almost painless and the postoperative recovery was smooth. There was no major hemorrhage after the post-operative de-threading. After one month of re-examination, the function recovered well, and there was no anal stenosis or anal incontinence. The patient is quite satisfied with the treatment effect and full of praise! The results of this patient's treatment are very consistent with my surgical concept: postoperative anal function and beautiful anus appearance are equally important!