2020年10月13日星期二

hemorrhoids lidocaine,New technique for ligation of hemorrhoids

    New technique for ligation of hemorrhoids

    The traditional apron band ligation method is to ligate the hemorrhoids itself. The anorectology group of the 34th General Surgery Department of the Third Xiangya Hospital of Central South University uses a new technique of ligation of the hemorrhoid mucosa (also known as "the technique of mucosal ligation on anal cushion"). Ligating the mucosa of the hemorrhoids and lifting the anal pad not only eliminates the prolapse of hemorrhoids, but also relieves the blood stagnation and bleeding caused by the lowering of the anal pad, which is in line with the new concept of modern hemorrhoid treatment. Adhesive band ligation of hemorrhoids is a simple, fast, safe and effective treatment method. It has low cost, high curative effect, short course of treatment, less patient pain, no anesthesia, no hospitalization, and it is the most effective non-surgical treatment for hemorrhoids. means.

    Indications and technical essentials

    It is mainly suitable for the internal hemorrhoids of stage I, II, and III hemorrhoids and mixed hemorrhoids. Among them, the internal hemorrhoids of I and II degree can be cured by one ligation. Third-degree internal hemorrhoids need to be ligated again due to large hemorrhoids, and the interval between ligation should be 10-12 days. After the internal hemorrhoids of mixed hemorrhoids are ligated, most of the external hemorrhoids can get better due to rectal mucosal retraction. Within 12 hours after bandaging, bowel movements should be avoided to avoid bleeding or falling off of the apron. The ligation site should be 2cm above the tooth line. If it is too low, it will cause pain. The number of ligation should not exceed 3 at a time.

    treatment effect

    Common symptoms of hemorrhoids include prolapse of hemorrhoids, blood in the stool, anal swelling, rectal prolapse, constipation, pain, and anal itching. The new technique of mucosal ligation on the anal pad is better than the traditional hemorrhoid ligation. 60% of the patients completely disappeared and 95% of the patients improved significantly. Rubber band ligation therapy is a safe non-surgical method, but a small number of patients may have symptoms such as bleeding, pain, swelling, edema, and difficulty urinating. Generally, only symptomatic treatment is given. People with severe pain and high fever should be vigilant, and if necessary, strengthen anti-inflammatory treatment or observe.

    Figure-1 Place the rubber ring on the front end of the ligator with a tapered attachment, suck the mucosa above the hemorrhoids into the ligator, then release the rubber ring to complete the ligation.

    Figure-2 The ligature, accessories and aprons used in the hemorrhoid mucosal ligation method

    Figure-3 The formation of hemorrhoids is related to the lowering of the anal cushion, varicose vessels and blood stasis.

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