The common clinical treatment for hemorrhoids are conservative, device, and surgical treatment, with surgical treatment mostly used for patients for whom the first two treatments have failed. But there are always patients who do not see well with conservative treatment, device treatment is not appropriate, and traditional one-size-fits-all and afraid of pain, so where should such patients go? In the past, there may not be a way out, you must bear the pain and choose surgical treatment, but now there is another way in front of hemorrhoid patients, it is Doppler ultrasound guided hemorrhoid artery ligation. Doppler ultrasound guided hemorrhoid artery ligation Doppler ultrasound guided hemorrhoid artery ligation is a new method of ultrasound treatment of hemorrhoids, with the advantages of less surgical damage, clear surgical field, and easy operation. It can preserve the patient’s anal lining tissue intact, reduce postoperative blood in the stool, and reduce the patient’s pain sensitivity and anal foreign body irritation. More importantly, ultrasound-guided hemorrhoid artery ligation can not only improve symptoms, but also stabilize the patient’s anal contraction function, improve anal pressure and prevent anal incontinence. Next, learn more about ultrasound treatment for hemorrhoids. The surgical principle of ultrasound treatment Doppler ultrasound-guided hemorrhoid artery ligation is to use a specially designed proctoscope with a Doppler ultrasound probe to detect the artery above the hemorrhoid at 2 to 3 cm above the dentate line and directly suture it to relieve the symptoms by blocking the blood supply to the hemorrhoid. What instruments and equipment will be used for ultrasound treatment of hemorrhoids? The instrumentation used for Doppler ultrasound-guided hemorrhoidal artery ligation is a hemorrhoidal artery ligation ultrasound Doppler examiner. The instruments include a special anoscope with an ultrasound Doppler probe, a special thread pusher, a long needle holder, and 0.5% iodophor disinfectant, several 0.5% chlorhexidine cotton balls, liquid paraffin cotton balls, an appropriate amount of saline, petroleum jelly gauze, absorbable sutures with stitches, several pieces of sterile gauze, and gelatin sponges. Which patients with hemorrhoids can have ultrasound treatment? Ultrasound Doppler-guided hemorrhoid artery ligation has the advantages of safety, effectiveness, less postoperative pain, shorter hospital stay and faster recovery, and is mostly suitable for stage II-III internal hemorrhoids and mixed hemorrhoids with mainly stage II-III internal hemorrhoids, especially for patients with bleeding as the main symptom. Contraindications to ultrasound treatment of hemorrhoids Doppler ultrasound-guided hemorrhoid artery ligation is contraindicated for those with anal infection, malignant tumors, simple inflammatory external hemorrhoids, thrombosed external hemorrhoids or with impaired coagulation mechanisms. What preoperative preparation is needed for ultrasound treatment of hemorrhoids? The preoperative preparation for Doppler ultrasound-guided hemorrhoid artery ligation includes two aspects. From the point of view of the medical staff, they need to go to the patient’s bedside 1 day before the operation and explain to the patient in the form of an interview the precautions and preparations for the operation, introduce the operating room environment, the operation method, the operation position, the advantages of the operation, and explain the success stories of the same patients in the past, so as to dispel the patient’s concerns and make the patient fully understand and be able to cooperate with the operation. From the patient’s side, preoperative tests such as routine blood, urine, liver function, coagulation, electrocardiogram and infectious diseases, preoperative fasting for 6 hours, enema to cleanse the intestines and skin preparation are required. After understanding the information related to the surgery, you need to cooperate with the doctor to sign the relevant informed consent form. Treatment modalities are constantly advancing, and effectiveness, safety, and comfort are gradually improving, but no matter how much progress is made, the pain that comes with pre-operative hemorrhoids is always inevitable, so instead of looking forward to the refinement of treatments, we should work on prevention so that we don’t get on the “boat” of hemorrhoids, which is very difficult to get off once you’re on it. References [1] Zhang Xuehui, Wang Qing, Zhang Hao, Wang Chunfang, Lu Yan, Shen Yongjie. Observation and analysis of the effect of Doppler ultrasound-guided hemorrhoidal artery ligation in the treatment of hemorrhoids [J]. Systematic Medicine,2020,5(11):100-102. [2]Jia Huaidong. Ultrasonic Doppler-guided hemorrhoid artery ligation combined with minimally invasive surgery for the treatment of severe hemorrhoids[J]. Chinese Journal of Anorectal Diseases,2019,39(07):25-26. [3] Cui Huiling. Surgical cooperation and care of ultrasonic Doppler-guided hemorrhoid artery ligation[J]. General Practice Nursing,2013,11(23):2132-2133. [4]Zhang Q,Zhou F,Zhai M,et al. Clinical efficacy evaluation of ultrasonic Doppler-guided hemorrhoid artery ligation for hemorrhoids (with 66 case reports)[C]. // Proceedings of the 30th Anniversary Conference of the Chinese Society of Traditional Chinese Medicine Anorectal Branch and 2010 Academic Conference on Chinese Medicine and Anorectal Communication. 2010:160-163.