2020年12月23日星期三

hemorrhoids banding,Mixed hemorrhoids and minimally invasive treatment technology

    Mixed hemorrhoids, also called internal and external hemorrhoids, are hemorrhoid diseases that occur in the same position of the anus on the upper and lower teeth, forming masses of varicose veins, connecting the inner and outer parts, and having no obvious boundaries. The internal and external venous plexus of the hemorrhoids become varicose and enlarged, communicate and anastomize each other, and the intersphincter groove disappears, so that the internal hemorrhoids and the external hemorrhoids form a whole. Its clinical manifestations are blood in the stool and anal swelling, anal swelling, foreign body sensation or pain, and may be accompanied by local secretions or itching. According to the nature of mixed hemorrhoids, it can be divided into: inflammatory mixed hemorrhoids, thrombotic mixed hemorrhoids, connective tissue mixed hemorrhoids and varicose mixed hemorrhoids. Clinically, the latter two are the most common. Painlessness, intermittentness, and bright red blood after defecation are their main characteristics. They are also common symptoms of internal hemorrhoids or mixed hemorrhoids in the early stage.

    Minimally invasive treatment of hemorrhoids, also known as "hemorrhoids circumcision anastomosis", is a new technology based on the theoretical basis of the new understanding of the pathogenesis of hemorrhoids caused by anal pad disease. It has a very ideal therapeutic effect on internal hemorrhoids, external hemorrhoids, mixed hemorrhoids, ring hemorrhoids, severe hemorrhoid prolapse, and rectal prolapse. It has the characteristics of quick effect, quick recovery and no pain after operation. It has a very ideal therapeutic effect on internal hemorrhoids, external hemorrhoids, mixed hemorrhoids, ring hemorrhoids, severe hemorrhoid prolapse, and rectal prolapse. It has the characteristics of quick effect, quick recovery and no pain after operation. PPH minimally invasive surgery uses a circular hemorrhoid suture gun to pull the hemorrhoids that have protruded from the anus back to their original position and cut off the blood vessels that provide blood to the hemorrhoids, so that the hemorrhoids no longer swell and reduce the patient's pain. The operation time is about 20 minutes. The anastomosis of PPH is above the anal tooth line, and there is no sensitive painful nerve endings, so postoperative pain is significantly reduced, and the recovery time of postoperative patients is quicker. Because of its painless and minimally invasive technology, it has been recognized by authoritative experts at home and abroad.

    The minimally invasive treatment method is to first circularly excise the mucosa and submucosal tissues of the lower rectum two centimeters to block the blood supply of the hemorrhoids. At the same time, perform an instantaneous anastomosis of the mucosal and submucosal tissues, so that the prolapsed anal cushion is suspended upward to allow it to recover To the normal anatomical position. The resection and anastomosis of part of the hemorrhoids and mucosa are completed within one second by the stapler, so it will not bleed, cut off the blood supply of the hemorrhoids, make them automatically atrophy and disappear, eliminate the root cause of recurrence, and generally do not need to change the dressing after surgery. There are no common complications such as anal pain, edema, and anal stenosis after traditional external stripping and internal ligation. Its advantages can be expressed in the following aspects: 1. Safety: There is no need to remove the anal cushion, the normal function of the anus is retained to the greatest extent, and complications such as anal stenosis and anal incontinence are avoided. 2. Painless: Pull back the hemorrhoids that have prolapsed from the anus, and cut off the blood vessels that provide blood to the hemorrhoids, without damaging the perianal skin, so there is almost no pain after the operation. 3. Less trauma and quick recovery: The circular stapling of the mucosa is a non-open wound, with less bleeding, eliminating the trouble of dressing change after surgery, and returning to normal life quickly. 4. Suitable for: Because of less damage, it is especially suitable for middle-aged and elderly people, white-collar workers who pay attention to efficiency, people who have relapsed with traditional treatment, and people with mild prolapse and rectal prolapse.

    Adequate intake of water should be ensured after operation. Adequate intake of water can achieve the purpose of softening the stool and has a better effect of preventing constipation. Make sure to drink 1000ml of water every day. Drinking cold boiled water every morning can stimulate the stomach-colon reflex and achieve the purpose of promoting bowel movement, but it is necessary to adjust the temperature of the water appropriately according to the season. Adequate intake of dietary fiber The diet should contain sufficient fiber, and the daily intake of dietary fiber to maintain normal bowel movements in adults is 20g. Cellulose is hydrophilic and can absorb water, making food residues swell and easily advance; residues can stimulate bowel movements, which is good for stimulating bowel movement and defecation reflex. In addition, intake of multi-fiber foods such as bananas, dietary fiber drinks, fruits, vegetables or bamboo shoots, oatmeal, and bran can promote bowel movements.

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