I have been engaged in the anorectal profession for nearly seventeen years, in the earlier days, because there is no painless technology, patients suffer from pain, surgery is more painful, the pain caused by anal surgery is compared to sitting on the fire, like pulling glass when defecating, so painful that the patient can not get out of bed for half a month, so that most patients are afraid of surgery, long-term suffering from pain, and finally, as a last resort, must do surgery when In the end, the anus has been seriously deformed, the pain of surgery is very great, and after surgery, the healing time is long, the basic cycle is about 40 days, the anal function will also be damaged to varying degrees, there is anal stenosis, ‘anal semi-incontinence and other complications. When I was not engaged in the painless technology of “anal painless surgery”, if a friend asked me to do the surgery, I would try to discourage him, “Don’t do it, don’t do it, it hurts like hell. But now there is this painless technology, and I have been very mature in the clinical use, at present, I think, as long as the patient conservative treatment is not effective, you can choose surgery, not only painless, but also, recovery is fast, the impact on the anal function is less, the sooner you do it, the better. The First Affiliated Hospital of Henan College of Traditional Chinese Medicine Anorectal Disease Treatment Center Li Yongqi. What is painless anal surgery? A: Painless anal surgery is the use of certain methods during or after surgery to reduce or eliminate pain caused by surgery, including intraoperative pain and postoperative pain, at present, there are many clinical analgesic methods, commonly used are oral analgesics, local injection of long-acting analgesics, and the use of analgesic pumps, etc. Oral drugs are easy to analgesic, but the pain relief effect is poor; local injection of long-acting analgesics, the pain relief time is long, up to 2 The method of local injection of long-acting anal analgesics has a long pain relief time, up to 2 to 30 days, good pain relief effect, easy operation, low price and no side effects, and this is the basis of the “full painless anal surgery” that I have summarized in my long-term clinical practice and achieved very good clinical results. Theoretically, the pain relief effect is reliable and suitable for inpatients, but the common side effects are urinary retention, nausea, vomiting and headache, and the pain relief time is generally 7-10 days, which is expensive. In addition, in recent years, certain new surgical instruments and surgical methods have been invented that do not involve pain-sensitive skin areas and do not produce pain themselves, so there is no need for post-operative pain relief, for example, the newest clinical treatment for hemorrhoids, the PPH procedure of Johnson & Johnson and the domestic tubular anastomosis hemorrhoidectomy closure,. It is a revolution in hemorrhoid surgery, which breaks through the traditional surgical model, if you do the traditional internal ligation and external incision, which is often referred to as thread ligation. The surgery is very troublesome, and the healing time is about 40 days, with many complications, such as anal stenosis, leakage of feces and fluid, bowel obstruction, and anal discomfort. If we use PPH or hemorrhoidectomy, this situation does not exist, we have been the first to carry out this kind of project in the province, and received good clinical results. At present, the most widely used “full painless anal surgery” is a painless procedure that I have created in my long-term medical practice, which is suitable for all kinds of anorectal surgery, such as hemorrhoids, anal fistula, perianal abscess, anal fissure, anal acromegaly, exit obstructive constipation, etc. I have been using this method in the clinic for I have been using this method for four years, about 3,000 patients, the clinical results are very good, the patient is painless during the operation, immediately after the operation can walk normally, basically does not affect the patient’s daily life, where I have done the “full painless anal surgery” patients are often pre-operative suspicion, post-operative surprise, do not do not regret, a do regret, regret is: since the pain is not, why suffer the disease? If it doesn’t hurt, why do they have to endure the pain for years and regret that they didn’t do it earlier? Director Li, can you tell us about the general situation of your “full painless anal surgery”? I can’t even figure out how the surgery can be painless at all. A: “Total painless anal surgery” is not a simple method to solve the pain of surgery, but a comprehensive use of a variety of methods, the most reasonable formula of long-acting anesthetics, with perfect minimally invasive surgery and proper postoperative treatment, in order to achieve the best effect of the whole operation to healing pain-free, I have detailed I have analyzed in detail the causes and regularity of pain in patients during and after surgery, and it is my overall idea to find ways to prevent pain before it occurs. In addition, the surgery does not hurt at all, it is also impossible, because in any case, you have to endure the pain of a shot of anesthesia, and ordinary intramuscular injection, I think, this pain you can still suffer.