Doctor Liu Fuyingcong led the case
Patient: Male, 42 years old, from Wuhan, Hubei
Main complaint: The anal mass has prolapsed for more than 10 years, and the pain and bleeding have been aggravated for more than 5 years. (The patient underwent PPH for circular mixed hemorrhoids in a local regular anorectal hospital in 2010).
Specialty situation: see the picture below
Diagnosis: 1. Old anal fissure 2. Anal papilloma 3. Anal stenosis 4. Mixed hemorrhoids after PPH
Surgeon: Chief surgeon: Liu Fuyingcong, First assistant: Dr. Wang Tingting
Surgical methods: internal anal sphincter lateral resection, anal expansion, anal papilloma resection, mixed hemorrhoidectomy
Anesthesia: sacral block anesthesia + basic anesthesia