Hemorrhoids can be treated surgically
Surgical treatment is suitable for patients with Severe Hemorrhoid prolapse, poor treatment effect with general therapy, ineffective conservative treatment, and patients with anal fissure.
Before the operation, we should first defecate and warm water treatment. During the operation, we should pay attention to choose the appropriate operation method, such as thrombotic external hemorrhoids stripping operation for thrombotic external hemorrhoids; PPH was performed in patients with prolapsed III-IV mixed hemorrhoids. The specific situation should be selected according to the doctor's advice.
Ligation and resection
It is to partially remove the external hemorrhoids of mixed hemorrhoids without suturing the wound, so that it can open and heal naturally. The internal hemorrhoids on the tooth line were ligated with thread at the base and fell off naturally for about a week. It is also called excision and suture to partially remove internal hemorrhoids. The disadvantages of this therapy are: it may block the blood circulation of the anus, and it is easy to produce congestion, edema, pain, difficulty in defecation, etc.
That is to fix the annular mixed hemorrhoids with wooden bolts or ring cutters, and then remove the hemorrhoids and some rectal mucosa for a week on the tooth line, and suture the upper and lower edges of the skin and mucosa while cutting. After the removal, the injured face will look like a ring.
External stripping and internal ligation resection
Make a prismatic or fan-shaped incision to the external hemorrhoids along the lateral distal end of the external hemorrhoids, fully peel the external hemorrhoids to the tooth line, destroy the capillary mass of the hemorrhoids, ligate the stripped external hemorrhoids at the tooth line, ligate the internal hemorrhoids at the same point at the same time, remove the excess tissue, and retain the ligated stump, so as to make the tissue fall off naturally.
Ultra low temperature and ultra high temperature surgery
Liquid nitrogen freezing, laser, microwave, electronic (including low frequency, radio frequency, capacitive field, electric ion penetration and electric oscillation) and other therapeutic instruments. Their therapeutic principle is to use ultra-low temperature or ultra-high temperature to produce cold or thermal effect, oscillation electric ion penetration biophysical effect, electric field capacitance effect, etc., so as to coagulate the tissue protein of the focus, seal the blood vessel embolism Electrocoagulation, hemostasis, cutting, tissue degeneration, necrosis, abscission, or hardening and atrophy are still simultaneous interpreting the treatment of sclerotherapy and hemorrhoids.
Non operative treatment of hemorrhoids