With hemorrhoids, the first thing that comes to mind is surgery, and the second thing that comes to mind is pain!
What circumstances require surgery?
1. Acute phase of thrombosed external hemorrhoids with particularly severe pain; or recurrent and frequent attacks of thrombosed external hemorrhoids that affect life.
2.Severe bleeding in the hemorrhoid stool, where conservative treatment is ineffective and even symptoms of anemia appear.
3.Prolapsed hemorrhoids need to be changed by hand or are difficult to be changed, that is, stage III or IV hemorrhoids. At this time, conservative treatment and medication can only improve the symptoms and cannot make the prolapsed hemorrhoids disappear, and if you feel inconvenienced in life, cleaning and hygiene, which affects your daily life, you need to consider surgery.
4.Prolapsed hemorrhoids are embedded, swollen, painful and cannot be replaced, or even necrotic, requiring surgery.
5.The larger perianal skin flab with or without eczema symptoms, but causing difficulties in cleaning and hygiene, in order to improve the quality of life, surgery can be considered.
Is there really a three-minute painless and complete cure?
The actual three minute, painless, on-the-go, complete cure, never recurring surgery? The advertisement has, there may be it, but I can tell you responsibly, three minutes, the anesthesia has not yet taken full effect; and we are so concerned about the anus, really three minutes to do the surgery you feel at ease?
1, in order to ensure a painless surgical procedure, generally take sacral anesthesia, epidural anesthesia or general anesthesia. After the operation, there is a need for anesthesia recovery process, it is impossible to treat with the treatment. The local anesthesia can be treated as you go, but it is difficult to achieve a completely painless operation. The actual fact is that you will be able to get a lot more than just a few of these.
2, hemorrhoids for the normal physiological structure, surgery is mainly to solve the bleeding, prolapse, skin flab and other problems. This means that in order to avoid anal stenosis and maintain normal anal function, some of the skin bridge or anal canal tissue is generally retained, which means that it cannot be completely eradicated.
3, if the hemorrhoid surgery, never recur, it means that the doctor health education is well done, the patient post-operative compliance is good, in strict accordance with the conservative treatment we talk about life diet bowel habits to. If you continue to have dry stools and squat toilets for half an hour, it’s unlikely that you won’t have a relapse! So conservative treatment of hemorrhoids should be carried out throughout our daily life.
How to choose between various minimally invasive procedures?
So many surgical treatment options for hemorrhoids, which means that there is no one surgical procedure that is perfectly suited for all hemorrhoids, and no one procedure is absolutely minimally invasive. The procedures can generally be divided into two main categories.
1, is the lifting of hemorrhoid tissue to restore it to its normal anatomical position, including rubber band ligation (COOK hemorrhoid gun, RBL), hemorrhoid injection (various sclerosing agents), hemorrhoid artery ligation (DGHAL), PPH, TST, etc. Such procedures are not completely non-invasive, all of which can play a role in lifting hemorrhoid tissue to treat blood in the stool and prolapse.
2, is the removal of hemorrhoidal tissue surgery, that is, the traditional external peeling internal ligation, including the current variety of electrosurgery equipment (ultrasonic knife, Ligasure, HCPT) directly remove bleeding, prolapsed hemorrhoid tissue, surgical efficacy, low recurrence rate, but relatively large damage, pain heavy. We can look at a chart below to understand the staged treatment of hemorrhoids.
How do I decide which procedure to apply?
1.The specific type of surgery chosen is based on the condition and the degree of hemorrhoid prolapse, but also on the anatomical structure of the anal canal, the presence of inflammation, previous surgical history, the doctor’s proficiency and preference for a certain surgical procedure, etc.
2. Currently, treatment is individualized and it is difficult to have one standard procedure to treat all types of hemorrhoids, such as PPH followed by a combination of multiple surgical methods such as external hemorrhoidectomy.
Is the surgery really painful?
The days of holding up the wall after surgery are basically over. At present, we are able to achieve pain-free surgery, with various analgesic drugs and analgesic modalities to intervene after surgery. Remember, the doctor and nurse are with you when the pain is there.
Is the postoperative period a one-time event?
No, never. We need to take care of the anus and continue to develop good habits of living, eating and defecating to prevent recurrence. The surgery mainly solves the problems of blood in the stool and prolapse. Anal itching, overflow, discomfort and constipation need to continue to be treated.