Doctor Liu Fuyingcong led the case
Patient: Male, 45 years old, from Meishan City, Sichuan
Main complaint: anal mass prolapsed with blood in the stool for more than 10 years, and worsened by 3 months.
Specialty status: (lithotomy position) prolapsed ring-shaped hemorrhoids can be seen on the anal margin. The wound is 4*3.5 in size, soft and can be pushed. Hemorrhoid nodules can be seen on the upper circle of the inner tooth line of the anal canal, especially at 1-4 points, 7 Significantly at -11 o'clock, mucosal erosion and bleeding were obvious.
Diagnosis: circular mixed hemorrhoids with internal hemorrhoid bleeding
Surgeon: Chief surgeon: Liu Fuyingcong, First assistant: Dr. Wang Tingting
Operation method: Original plan: External stripping and internal ligation of circular mixed hemorrhoids and injection of internal hemorrhoid stump sclerosing agent; as the anal margin incision and internal hemorrhoid erosion were found to have significant bleeding during the operation, the hemorrhoids were gently clamped and the bleeding was found to be excessive. High frequency electrosurgical surgery.
Anesthesia: sacral block anesthesia + basic anesthesia