PPH versus traditional surgery for hemorrhoids Non-surgical treatments: diet, oral medication, topical medication, injection therapy, withered hemorrhoids, infrared therapy, cryotherapy, laser therapy, etc. Traditional surgical treatment: Removal of hemorrhoid nucleus by external peeling and internal ligation is the most common treatment for severe hemorrhoids in recent years, but the post-operative pain and longer hospitalization and healing time brought about by traditional surgical treatment often make patients shy away from it, and there is a certain possibility of recurrence with traditional surgical treatment, especially important because it more or less removes the anal cushion. As a result, there are patients with varying degrees of incontinence after surgery. What is the difference between PPH and traditional surgery 1. The surgical site is in the anal opening, while the PPH surgical therapy site is in the lower rectum. Traditional surgery removes the external hemorrhoids, ligates the internal hemorrhoids, has a trauma in the anus, requires a denudation process, and performs daily drug changes, fumigation, and medication changes after surgery. The wound hurts severely during defecation and can only heal gradually. In contrast, the PPH surgery site is in the lower rectum, and the anastomosis is performed at the same time, and the whole procedure takes only a few minutes, preserving the anal cushion tissue, with no trauma in the anus and no denucleation process. The first day after the operation, you can have normal bowel movement, and there is no need for special drug changes and fumigation. Traditional surgery requires cutting the sphincter to prevent anal stenosis, but PPH surgery does not damage the sphincter, so no anal stenosis or fecal incontinence will occur. Traditional surgery is symptomatic treatment, while PPH surgery method is to treat the cause of the disease. 2.PPH surgery has no damage to the anal sphincter because the anal cushion is preserved and there is no surgical incision in the anus, so the physiological function of the anal cushion is preserved to the maximum extent, so it has: (1) no pain after surgery. (2) Short operation time, small injury, fast recovery. (3) No damage to the anal sphincter, no incontinence and anal stenosis. (4) Low recurrence rate of hemorrhoids and beautiful appearance. Why PPH has advantages? 1.Since the anal cushion is not removed, the fine defecation function is not affected after surgery; 2.Since the incision is above the dentate line, there is no spinal nerve sensory endings, and the pain is obviously reduced after surgery; 3.Since the incision is anastomosed at once, there is no opening, and the healing time is extremely shortened; 4.Since the size of the anastomosis is relatively fixed, and it is located in the rectal mucosa, theoretically, no anal stenosis due to skin scar contracture will occur; 5.Since there are supporting The operation is simple and standardized, which is easy to promote and evaluate the prognosis.