Doctor Liu Fuyingcong led the case
Patient: Mr. Chen, male, 27 years old, from Yiyang City, Hunan,
Main complaint: prolapse of anal mass with difficulty defecation, anal pain, bleeding for more than 3 years.
Diagnosis: severe annular mixed hemorrhoids, old anal fissure, anal stenosis
Operation date: 2015-11-20 Anesthesia: sacral anesthesia + basic anesthesia
Surgeon: Chief surgeon: Liu Fuyingcong, First assistant: Guo Hangyong
Surgical methods: segmental external resection and internal ligation of circular mixed hemorrhoids, internal anal sphincter lateral resection and expansion of the anus, anal fissure resection, internal hemorrhoid stump sclerosing agent injection
Specialty situation: prolapsed ring-shaped hemorrhoids can be seen at the anal margin, the size is about 6*5CM, soft, and can be pushed, and hemorrhoid nodules can be seen on the next circle on the inner tooth line of the anal canal, especially at 2-5 points and 7-8 points. , 11-12 o'clock is significant, mucosal erosion; 6 o'clock an ulcer is seen on the anal margin, the edge is sneaky, the base is pale and tender.