Professional strengths.
1. full painless anal surgery
2. Anal minor surgery to solve stubborn constipation.
3. One-time cure program for a variety of anorectal diseases
4. PPH minimally invasive anorectal surgery
5. Anorectal acromegaly anti-relapse triple therapy
6. Chronic colitis combined with traditional Chinese and Western medicine to promote bacteria therapy, the First Affiliated Hospital of Henan College of Traditional Chinese Medicine Anorectal Disease Treatment Center Li Yongqi
The severe pain of anorectal surgery comes from the intraoperative and postoperative periods and the physiological and psychological feelings, in order to minimize the intraoperative and postoperative pain of anorectal surgery, so that patients can enjoy the highest level of pain-free and painless surgery, the first domestic “full painless anorectal surgery”, which turns the painful anorectal surgery into a beautiful dream It is called “dream type anorectal surgery”.
I. What is painless and minimally invasive anorectal treatment?
“It is a comprehensive reform of anorectal surgery in terms of anesthesia, surgery and medication change, combining intraoperative sleep anesthesia, postoperative long-acting anesthesia and minimally invasive surgery, so that patients do not feel pain during the whole process from examination to surgery and postoperative healing, eat normally, do not control bowel movements, and basically do not affect their lives and the treatment of anal diseases. It does not affect life and work.
What are the diseases for which “painless anorectal surgery” is applicable?
Hemorrhoids, anal fistula, anal fissure, prolapse, persistent constipation, perianal abscess, anal papilloma, anal acromegaly, prolapse of rectum and rectal mucosa, etc.
The painless concept is not only limited to surgery, it should start from examination, not to let the patient suffer, and the action must be gentle to reduce the patient’s pain as much as possible
The core of painless anorectal surgery
Intravenous anesthesia combined with local anesthesia
The surgery itself is still done by local anesthesia, so it is very safe.
Patients feel very comfortable – the operation is like a dream.
It is suitable for anal surgery and other short and minor operations.
Post-operative: local long-lasting pain relief
The difference between painless surgery and conventional surgery
When is the right time to have surgery if you have anorectal disease?
In the past, because there was no “painless technology”, patients suffered from pain and surgery was even more painful, which made most patients suffer from pain for a long time because they were afraid of surgery, and when they finally had to operate, the anus was already seriously deformed, resulting in large surgical trauma, long healing time, and post-operative complications, which were very painful for patients. But nowadays, the “full painless anal surgery” has reached the maximum pain reduction to no pain. Patients can choose surgery as long as conservative treatment is not effective, in order to prevent further deterioration of the disease, and early surgery is less traumatic, faster healing, and more conducive to anal function recovery, so we suggest that early treatment of anal diseases is better. In addition, it is best for women who have not had children to have their hemorrhoids surgically removed before they are ready to become pregnant to prevent the triggering and aggravation of hemorrhoids during pregnancy. For example, if a patient suffers from hemorrhoids, anal fistula and anal fissure at the same time, one treatment is to treat all three diseases together instead of treating one disease at a time, and for example, many patients’ hemorrhoids are caused by long-term constipation, so we treat hemorrhoids together with constipation surgery to treat both the symptoms and the root cause. If you simply treat hemorrhoids without correcting constipation, hemorrhoids are sure to recur. (Those advertisements that advertise XX laser instruments and XX computerized methods to treat hemorrhoids that never come back are pure deception)
After the surgery – the patient relaxed look
Intravenous anesthesia can achieve the best surgical comfort effect of patient sleep type anesthesia, dream type surgery, avoiding the sequelae and complications of intravertebral anesthesia, such as back pain, headache, and the patient does not need to lie down for 6 hours after surgery, and can reduce the chance of urinary retention to “0”. The application of intravenous anesthesia with local anesthesia and postoperative long-acting analgesia for common perianal surgery is the first of its kind in China and internationally.
3.Long-acting postoperative analgesia
In recent years, we have achieved better clinical results around local closure of perianal wound edges with various compound formulations of methylene chloride [2]. After a lot of clinical practice, we have summarized a set of medicinal liquid trauma edge local sealing, postoperative pain relief for 2~3 weeks, which ensures the long-acting postoperative pain relief for patients and is an important part of the whole whole painless anal surgery.
4.Application and promotion
After more than 20,000 cases of clinical application from 2010 to today, our anorectal surgery department has verified that “full painless anorectal surgery” is indeed a very excellent clinical technique and is worth promoting.
We expect this method to be widely used in other short and minor surgeries of our hospital.
Other new items in the Department of Anorectal Surgery
PPH (anastomotic suprahemorrhoidal mucosal circumcision)
The US QS minimally invasive technique for hemorrhoids, commonly known as PPH (anastomotic supra-hemorrhoidal mucosal circumcision), is based on a new concept of the cause of hemorrhoids – the theory of inferior anal cushion migration.
The benefits of the PPH minimally invasive technique are: firstly, it does not destroy the normal structure of the anus; secondly, the patient does not feel pain; and thirdly, the recovery of the wound after the operation takes only 3 to 4 days. To date QS minimally invasive hemorrhoid technology has brought a caring experience of minimally invasive healing to nearly one million hemorrhoid patients worldwide.
-Anastomosis opens up a new chapter in the mechanized treatment of difficult surgeries such as severe hemorrhoids and rectal prolapse. The use of the anastomosis clutch marks the elevation of anal surgery from the traditional small class of hemorrhoids to a modern, high-end new class.
Advantages of the anastomosis clutch
1. The anastomosis and closure of the anastomosis clutch is a radical and rapid cure for prolapsed anorectal diseases.
2. Especially for rectal prolapse, there is no special solution before the introduction of the anastomosis.
3. Very little bleeding, very fast recovery, very beautiful appearance, very full function.
Principle of the use of the anastomosis
Based on the doctrine of inferior displacement of the anal cushion
The doctrine of excision and elevation
The scope of the use of the anastomosis
1.Internal hemorrhoids, 2.Mixed hemorrhoids
3.Prolapse of the rectum 4.Intra-rectal mucosal prolapse
4.Prolapsed rectum. (First degree, second degree, third degree)
Small surgery to treat constipation
-New medical technology, small surgery to treat constipation.
One smooth stool, one smooth.
– In old age, surgery to remove constipation, live another 30 years.
– Research data all show that aging is a high prevalence factor of constipation, constipation patients with age and significantly increased.
Misconceptions about the dangers of constipation.
– People’s common sense mistake: Constipation is not a disease.
– Correct understanding: constipation is a disease, a disease that must be treated. Constipation is very harmful to the human body.
The hazards of constipation
1, directly trigger the colon and anal diseases, causing hemorrhoids, anal fistula, anal fissure, prolapse, anal cryptitis, colitis, perineal descent, visceral prolapse, secondary megacolon, colonic redundancy, colorectal melanosis, colorectal cancer, etc..
2, cardiovascular and cerebrovascular disease, the 1st cause of sudden death, can cause cerebral hemorrhage, myocardial infarction, according to statistics, the United States annually hospitalized 920,000 patients suffering from constipation, of which 1% died of constipation or constipation-related diseases.
3, neurological hazards: irritability, dizziness, headache, insomnia, forgetfulness, senile dementia, inattention, memory loss, sexual dysfunction, reduced work efficiency, dependence on drugs can lead to mental tension, anxiety, depression, frustration and even pessimism and even suicidal tendencies.
4, the impact on women: long-term constipation is one of the causes of the development of breast cancer, acne, freckles, dark spots, a higher incidence of skin roughness, the face without color, loss of moist, bloated body “general belly”, affecting beauty, beauty.
Misdiagnosis of constipation
– Some patients mistake this disease is not a disease, think that as long as some laxatives can be, only pay attention to the current efficacy, regardless of the long-term harm of drugs, long-term reliance on laxatives and laxative abuse is very common, not only can cause melanosis of the large intestine, inducing intestinal cancer, but also serious damage to the large intestine ganglion cells, so that the large intestine lost peristaltic function, can not defecate on their own, had to perform a full total colectomy has to be performed.
Long-term laxative abuse in patients with constipation causes colorectal melanosis
– Some patients rely on long-term dietary regimen, mainly vegetarian, liquid, in order to change the stool appearance and texture, to achieve the purpose of smooth defecation, without knowing that long-term dilute soft stool, so that the dilatation function of the anus during defecation “into the waste”, the anus is getting smaller and smaller, defecation more and more difficult.
– Modern anorectal pathology alternative, has been constipation into the anorectal surgery treatment, and achieved the best results.
The road to treatment of persistent constipation: surgical treatment of constipation
Drugs treat the symptoms, surgery treats the root cause
– The surgical treatment of constipation is based on the compliance of the rectum, through the anal canal decompression and release, to reduce the resistance to defecation, improve rectal compliance, to achieve the effect of smooth defecation.
– It is most suitable for constipation of the stubborn outlet obstruction type, where the patient is conscious of defecation, but just wants to defecate, but cannot defecate, and it is very difficult to defecate.
The efficacy of minor surgery for constipation
– The surgical treatment of constipation is a minor surgery, mainly painless and minimally invasive, which allows normal diet and no control of bowel movement after surgery, and basically does not affect life.
– Surgical treatment of constipation can also be performed simultaneously with other anorectal surgeries, such as hemorrhoids, anal fissures, rectal prolapse, and internal mucosal prolapse, so that patients can solve multiple diseases in one surgery.
– Constipation is the root cause of many anorectal diseases, constipation is lifted, hemorrhoids, anal fissures and other diseases will not recur, to achieve the curative effect of the root, the earlier the surgical treatment of constipation, the better the effect.
1, the concept of constipation.
Focus on the painful symptoms of difficult discharge, not in the cycle of defecation. (A few days a row or a few rows a day, as long as there is no pain, the diagnosis of constipation can not be established) If several days without a row, but the patient still discharge smoothly, the possibility of consultation is also very small, this patient is also rare, the diagnosis of constipation is not established.
2. Selection of indications for constipation surgery
1. Symptoms emphasize the intention to defecate, with or without stool, difficult to pass (the feeling of holding stool in the anus just does not come out). It is often seen that there is no exhaustion or difficulty in exhaustion, or the gas reaches the anal opening but the force cannot come out, returns to the intestine, difficult to discharge fluid, abdominal distension, anal swelling, frequent bowel movements, although the use of laxatives, can make thin stool discharge, but can not exhaust, the patient is still suffocating.
2. Specialized examination emphasizes that the fingertip sphincter force cannot be effectively relaxed during discharge, or even contracted in the opposite direction, and the intestinal cavity is severely blocked under the microscope.
3. Physical and chemical examinations emphasize the objective basis of fecal imaging.
The principle of constipation surgery
– Anal canal decompression and release surgery
Enlargement of the anus, reduction of anal contraction tension, relaxation of the anal canal, reduction of defecation resistance, and improvement of rectal compliance.