What are hemorrhoids? Everyone has a lining in the anus formed by vascular tissue called the “anal cushion”. The “anal cushion” is like a washer in a faucet, which closes the anus tightly. Some bad habits, such as prolonged straining and constipation, can damage the cushion and cause it to bleed and prolapse. Hemorrhoids. Common symptoms of hemorrhoids include bleeding, prolapse, anal itching, and a feeling of incomplete defecation. Other diseases of the anus and rectum can have similar symptoms, so to avoid delaying treatment, it is best to consult a specialist for a definitive diagnosis. What are the principles of hemorrhoid treatment? Dietary modification and medication are effective for most hemorrhoids. If the bleeding and prolapsed hemorrhoids are severe, further treatment is needed, including outpatient surgery and inpatient surgery. However, there are numerous surgical treatments for hemorrhoids, and it can be a real challenge for patients to choose the appropriate treatment. As research into hemorrhoids has gradually advanced, the philosophy of hemorrhoid treatment has changed considerably. Currently, the internationally accepted principles of surgical treatment for hemorrhoids are: to control the symptoms of hemorrhoids, to treat only the diseased anal cushion, to avoid excessive excision, and to prevent anal incontinence. Following the modern principles of hemorrhoid treatment, the collar ligation is the treatment of choice for hemorrhoids in Europe and the United States, among other countries. This method has been used for 50 years now and has proven to be effective. What is hemorrhoid ligation? Ligation is the use of special instruments to apply elastic rings one by one to the visible areas of the hemorrhoid, thus blocking the blood supply to the hemorrhoid, causing it to gradually become ischemic, necrotic and fall off, in order to achieve the treatment goal of controlling bleeding and reducing prolapse. The lancing treatment usually does not require anesthesia and can be performed in the office, with the actual operation taking only a few minutes. During the treatment, anal swelling and a feeling of defecation may occur, which are common reactions to ligation treatment. After the ligation treatment, you can take a short rest in the hospital and go home if there is no special discomfort. Small ulcers will form locally after the hemorrhoids fall off, and it usually takes 3 to 4 weeks for the wound to heal. Features of lancing Compared to other surgical treatments for hemorrhoids, lancing has obvious advantages: it is less painful, easy to perform, does not require hospitalization, is less expensive, is safe, has a quick recovery, and does not interfere with work. In individual cases, if one ligation does not effectively relieve the symptoms, ligation can be repeated and has no impact on other treatment options in the future. Effectiveness of ligature treatment According to foreign literature, the recent efficacy of ligature is 90% and the long-term treatment effect is about 80%, similar to other treatment methods.