Sheng Mou, male, 50 years old, has a sudden swelling and pain in the anus for no obvious reason, it is difficult to sit down, movement is difficult, and medication is ineffective. When I came to the doctor, I saw the perianal ring swelling, purple color, and obvious tenderness. The diagnosis was: circular acute incarcerated hemorrhoids. On the afternoon of admission, he was treated with local anesthesia. The postoperative pain ceased. At present, the second day after the operation, there is no pain, no edema on the anal margin, and good recovery.
Experience: Annular acute incarcerated hemorrhoids are severe and emergency in the anorectal department. There are two current treatment methods, one is to reduce the swelling first, and then surgery. The other is immediate surgery. The former is to consider the reduction of swelling after surgery can reduce trauma, the latter believes that immediate surgery can relieve sphincter spasm and relieve pain. The difficulty of the operation in this case is that the incarcerated part has formed a large area of thrombus. If the operation is not performed in time, necrosis may occur. The second is ring incarceration, how to protect the perianal skin during the operation. The operation adopts a small incision stripping method. The following picture is a control before and after treatment:
Immediately after surgery