Doctor Liu Fuyingcong led the case
Patient: Female, 48 years old, from Hunan
Main complaint: repeated anal mass prolapse with blood in the stool for 17 years.
Specialty situation: (lithotomy position) prolapsed ring-shaped hemorrhoids can be seen at the anal margin, about 4*4cm in size, soft, and pushable. Hemorrhoid nodules can be seen on the upper circle of the inner tooth line of the anal canal, especially at 2-5 , Mucosal erosion. (Picture 1 and Picture 2)
Diagnosis: ring mixed hemorrhoids
Surgeon: Chief surgeon: Liu Fuyingcong, First assistant: Dr. Wang Tingting
Operation method: segmental external resection and internal ligation of circular mixed hemorrhoids, injection of sclerosing agent at the stump of internal hemorrhoids
Anesthesia: sacral block anesthesia + basic anesthesia
Before surgery (Figure 1)
Before surgery (Figure 2)
Postoperative (Figure 3)
Postoperative (Figure 4)
On the third day after surgery (Figure 5)
On the third day after surgery (Figure 6)
The fifth day after surgery (Figure 7)
Sixth day after surgery (Figure 8)
On the eleventh day after the operation (Figure 9), the hemorrhoid ligature completely fell off within the eleven days after the operation, without special discomfort, he was discharged from the hospital and continued dressing treatment once a day.
Eighteen days after surgery (Figure 10)
Eighteen days after surgery (Figure 11)
Followed up 26 days after the operation, the anal wound was completely healed, defecation was smooth, and no complaints
Follow up 26 days after surgery (Figure 13)
Summary: This patient is a female patient with heavy hemorrhoids. The main cause of hemorrhoids in this patient is 17 years of pregnancy and childbirth. The aggravating factor is that the patient is from Hunan, who often eats hot peppers and sits for a long time. , Need to hand back, there is more blood in the stool, dripping and ejection, ranging from a few milliliters to tens of milliliters each time; it has a serious impact on the patient’s quality of life, and has been afraid of surgery because of pain and surrounding friends told her about hemorrhoid surgery It hurts, it hurts! In the end, she made up her mind to come to the operation because a friend of her friend's hemorrhoids were operated on by me, and the operation and postoperative recovery were almost painless, so she made up her mind to come to me for the operation. Difficulty of operation (++), operation method: segmental external resection and internal ligation of circular mixed hemorrhoids, injection of internal hemorrhoid stump sclerosing agent. During the operation, hemorrhage from the anal wound was found to be obvious, so high-frequency electrocautery was used to stop the bleeding. The operation process was smooth , Satisfactory anesthesia (sacral canal block anesthesia + basic anesthesia), the postoperative recovery process was smooth, and he was discharged from the hospital 11 days after the operation. There was no postoperative hemorrhage, anal stenosis, anal incontinence and other complications. The pain was mild. The patient described only defecation There is slight acupuncture-like pain, which is relieved after going to the toilet. The only shortcoming of this operation is that due to the use of high-frequency electrosurgical coagulation to stop the bleeding, the wound growth and recovery are slow for about a week, and the entire treatment process is completely healed in about three weeks. The effect of the operation is good, and the patient is quite satisfied!