External peeling and internal ligation surgery is suitable for mixed hemorrhoids as well as patients with fistulae or polyps.
1. Mixed hemorrhoids: i.e. patients with both internal and external hemorrhoids, with the affected area crossing the dentate line. The external hemorrhoids are stripped to the dentate line by external peeling, excision and ligation, while the internal hemorrhoids are ligated to prevent recurrence. Therefore, patients with mixed hemorrhoids can effectively remove the hemorrhoids and the excess connective tissue around them by external stripping and internal ligation, and at the same time ligate the mucous membrane above the dentate line to effectively avoid postoperative recurrence.
2. mixed hemorrhoids combined with anal fistula or polyp patients: combined with anal fistula patients need to explore the sinus tract, internal and external orifices during the operation; combined with the polyp patients, need to be completely removed from the base of the polyp, suture trauma, in order to prevent recurrence. External peeling and internal ligation surgery vision exposure is sufficient, can effectively carry out the exploration, suture or even filling, drainage and other operations.
Specific surgical methods should be evaluated by a professional doctor to give the best surgical methods and individualized treatment.