Since more than forty years ago, British urologists Payne and Wickham first used the term "minimally invasive" in the report of endoscopic treatment of urinary calculi. Minimizing the damage during the operation and reducing the pain of the patient has become A trend. It is no exception in anorectal surgery.
So, what is minimally invasive hemorrhoid surgery? At present, there is no standard for minimally invasive surgery for hemorrhoids in the anorectal sector. According to the concept of minimally invasive surgery, surgery with less damage than previous surgery can be said to be minimally invasive.
General patients understand that minimally invasive surgery may be small incisions and painful operations. To cater to the needs of patients, some people will refer to ultrasound-guided hemorrhoid artery ligation, PPH, and TST as minimally invasive surgery. After a long time, as doctors, we also understand that the minimally invasive surgery referred to by patients actually means PPH surgery.
Although PPH surgery and TST are less painful and quicker than traditional hemorrhoidectomy, the tissue damage of the operation actually exceeds that of traditional treatment methods such as internal hemorrhoid injection therapy, apron ligation, and simple internal hemorrhoid ligation. It is not inherently low Minimally invasive surgery for injuries. It's just that the wound is anastomosed through the stapler technology, and the wound is in the rectal cavity where there is usually no pain, so the pain is less, and the patient thinks it is minimally invasive. These operations alleviate the pain, but also come at a price. For example, hemorrhoids are prone to recurrence, and sometimes there are serious complications that traditional surgery does not have, such as rectal perforation, intractable rectal stenosis, persistent abdominal pain, and rectovaginal fistula. Therefore, the U.S. and Japan rarely carry out PPH operations. The famous doctors in major domestic hospitals I know do less and less perform PPH operations.
Therefore, I suggest that patients do not understand hemorrhoid surgery purely from nouns. They should know that each treatment method has its limitations. It is best to listen to the opinions of their trusted specialists and let the experts help you understand each type of surgery. The advantages and disadvantages of the method help you choose the most suitable surgical method for your hemorrhoids.