Anorectal disorders are not “unspeakable”. The hemorrhoid disease is concerned about the “minimally invasive treatment”. The anorectal disease is a common clinical disease and a frequent occurrence. The incidence of hemorrhoids is that high? The common saying “nine out of ten hemorrhoids” has some truth to it. According to statistics, the incidence of hemorrhoids in China is 52.2 percent. The incidence of hemorrhoids is high, and probably everyone at some point in their lives may suffer from what we usually call hemorrhoids. Bleeding during a bowel movement, something coming out of the anus during a bowel movement, etc. are all signs of hemorrhoid disease. This is not an unspeakable problem; in fact, many medical professionals are “hemorrhoid sufferers” themselves. There are many advertisements for the treatment of hemorrhoids in society, but are the results really as amazing as advertised? The hemorrhoids are very common clinically and seem to be easy to operate on, so hospitals and clinics of all sizes are carrying out surgery for this disease, and advertisements are all over the place, on television, in newspapers and magazines, advertising all sorts of treatments: painless, computerized, ancestral recipes, never relapsing, on-the-go, and so on. In fact, the problem of hemorrhoids needs a real voice! Do you need surgery for all hemorrhoids? Hemorrhoids have a high incidence, but it is not necessary to have this disease to need surgery. Overseas, only about 10% of patients with hemorrhoids require surgery. Hemorrhoids are also often a clinically self-limiting disease, often with distinct periods of flare-ups and remissions, and there are often obvious triggers for flare-ups, such as exertion, sedentary standing, diarrhea, poor diet (too much spice), dry stools, etc. It is possible to significantly reduce the frequency of hemorrhoid flare-ups by taking care to avoid these triggers. However, clinically, over-treatment of hemorrhoids is a relatively common phenomenon, and hemorrhoids are treated and operated on as soon as they are seen. We Chinese people don’t know how many of them have been subjected to the “wrongful knife” that is feared in the jungle. What kind of hemorrhoids require surgical treatment? The main indications for surgery for hemorrhoids include: repeated prolapse of the mass outside the anus during stool, which cannot be returned by itself and needs to be returned with the aid of hands; repeated bleeding during stool, dripping down or bleeding like an arrow, spraying out; individual impact on the appearance of the anus and anal self-control. Is there minimally invasive treatment for hemorrhoids? What are the minimally invasive techniques for treating hemorrhoids at the General Surgery Department of the PLA General Hospital? The so-called minimally invasive is relative to the traditional “external peel and tie” open surgery, with the advantages of less pain and faster recovery. Modern minimally invasive anorectal technology has moved from the rough and tumble of the past to refinement and scarlessness, and in the face of different aesthetic positioning and diverse requirements, international quality anorectal treatment technology has been completely different from traditional anorectal surgery. Our general surgery department is currently using the latest international surgical minimally invasive treatment methods, mainly RPH suprahemorrhoidal mucosal ligation (RPH); ultrasound-guided hemorrhoidal artery ligation (DGHAL); Ligasure hemorrhoidectomy; and anastomotic loop hemorrhoidectomy (PPH). Which is the best surgical method to treat hemorrhoids? There are many surgical methods for hemorrhoids, each with its own indications and advantages and disadvantages, and there is no single minimally invasive surgical procedure that is suitable for all types of hemorrhoids. The manifestations of hemorrhoids vary from person to person, with some having recurrent bleeding as the main symptom and others having prolapse as the main manifestation. Therefore, the treatment method is different for different patients. The clinical treatment should be individualized by considering the patient’s condition. In other words, different people, different hemorrhoids, different treatment. There is no best, only the most suitable! Is there a painless procedure for hemorrhoids? Yes, for example, the RPH (suprahemorrhoidal mucosal ligation) I mentioned above, which requires no anesthesia and is basically painless. It is primarily indicated for patients with bleeding hemorrhoids and mild prolapse. For patients with severe prolapse, the long-term results of this method are average. Therefore, there is no “perfect” treatment that is painless and works well for all hemorrhoids. Can hemorrhoids be cured? This question is really hard to answer because it has a lot to do with each person’s understanding, such as time, such as how to use it, and so on. As an example, when we go to repair a car, we rarely ask the master: can you guarantee that my car will never break down again? The purpose of hemorrhoid treatment is to relieve or alleviate the symptoms, and it is up to you to take care of them after surgery. What type of people are susceptible to hemorrhoids? This disease is more likely to occur in workers who are engaged in a sedentary, standing, squatting position and relatively less active people, such as drivers, office administrators, etc.; there are also some people who live irregular lives, because they do not eat regularly and rarely exercise, and do not pay good attention to the diet, so it is easy to cause hemorrhoids; people who often read newspapers and play cell phones in the toilet are also a high incidence of hemorrhoids. How to effectively prevent these diseases from happening? The main measures to prevent hemorrhoids are to keep your bowels open, to develop a good habit of regular bowel movements every day, to prevent dry stools that can damage the skin of the hemorrhoids and cause bleeding, to eat more fresh vegetables and fruits; to take laxatives when constipated, or to take honey orally to make the bowels open; to take a hot water bath after a bowel movement, which can wash away the dirt in the folds of the anal skin and also promote local blood circulation, which is important for keeping the anal area clean and The anal lifting exercise is often done by relaxing the whole body, consciously contracting the anus and slowly lifting it up, just like forcing a bowel movement, then relaxing it and doing it 20 times repeatedly. Anal lifting exercises can be done at any time, at work, in the car, while watching TV or before going to bed.