As the saying goes, if you have a will, you can do it, so if you have hemorrhoids, you have to get them in addition. In the eyes of most people, hemorrhoids are a small thing, just because the offending area is shy, so they are not willing to take the initiative to seek medical attention. The actual fact is that you’ll be able to delay until you have a number of recurrences, the condition is aggravated, and you can no longer effectively control the condition through conservative treatment such as diet and medication, and then you have to cover the “butt” to the hospital for help. However, for some patients for whom conservative treatment is ineffective, such as patients with I-III degree internal hemorrhoids, it is generally necessary to change the treatment idea and take device treatment. The second is that some patients with hemorrhoids who are unable to undergo traditional surgery, such as external and internal ligation, anal cushion resection, but who have the need for surgery, as well as patients with Ⅳ degree internal hemorrhoids who have contraindications to surgery, such as those with severe cardiovascular disease, must also undergo early device treatment of hemorrhoids – the rubber ring ligation method. The main reason for this is to use a negative pressure suction device to generate a certain amount of negative pressure, which draws the loose mucous membrane of the hemorrhoid into the ligature, and then to put on the rubber ring, using the elastic binding force of the rubber ring to block the blood supply of the internal hemorrhoid, so that the nucleus of the hemorrhoid shrinks and falls off. Among the more serious internal hemorrhoid patients, tandem ligation and inverted triangular ligation can also be used to improve the efficacy. 2.Effects Compared with traditional surgery, the adhesive ring ligation method causes less impact on patients’ normal work and life, patients have light postoperative pain, and safety is relatively high. (1) High safety The study that investigated the effect of automatic collar ligation method and traditional surgery in treating stage II-III internal hemorrhoids confirmed that the length of surgery and postoperative defecation time of patients with automatic collar ligation method were significantly shorter than those treated with traditional surgery, and the number of hospitalization days was significantly less than those treated with traditional surgery, and the incidence of postoperative complications was also lower, and the number of people who reached grade III pain level during and after treatment was also lower. (2) Less trauma The collar ligation method does not cause significant local trauma to the patient during the whole operation and leaves no scar after the treatment, ensuring that the appearance and normal structure of the anal canal and rectum are not damaged to the greatest extent, and also helps to reduce the backflow of hemorrhoid veins and relieve the symptoms of congestion and hypertrophy of the anal canal. (3) Quick recovery After treatment, the patient’s hemorrhoid tissue will gradually undergo ischemic necrosis, adhesions, and shedding of the remaining mucosa, and usually these necrotic tissues can basically fall off within 7-10 days after treatment, and all patients can recover their bowel function faster after treatment. Internal hemorrhoid ligation is effective, but post-operative care must also be done Although there are many advantages of the collar ligation method, post-operative care can help to further reduce the incidence of complications and infections, which has a key role in promoting post-operative recovery and should still not be ignored. 1.Psychological care Patients may experience varying degrees of anxiety, mania and other negative emotions after treatment, at this time, family members need to strengthen communication with patients, patients themselves can also adjust their psychological state by way of distraction, more encouragement, cheer themselves up and improve confidence. 2.Behavioral care Patients can rest in a flat position, use soft cushions and elevate the buttocks to reduce tension and reduce the pressure of the abdomen on the anus. When conditions allow, patients can walk and lift the anus under the guidance of the doctor, but should avoid weight-bearing, prolonged sitting and squatting. 3.Dietary care In the short term, use milk, rice, noodles and other full-liquid diet as the main diet as appropriate, and drink more water to eliminate the dry stool condition. 4.Pain care For a small number of patients, more obvious pain may occur, it is necessary to follow the doctor’s prescription for routine oral pain medication to relieve pain, and pay close attention to the reaction after the medication. In addition, the patients of the collar ligation method also need to pay attention to prevent the collar from slipping, if it happens, promptly seek medical treatment. The damage caused by hemorrhoids is much more than just “jugular” pain, it can lead to persistent blood in the stool, leading to anemia, and can also aggravate constipation due to severe pain in defecation, causing a vicious cycle, and in serious cases, even lead to anal fissures, anal fistula and other diseases …… Therefore, it is imperative to actively follow medical advice for the treatment of hemorrhoids with devices! References [1] Li Zhiyuan,Yin Chunfang. Comparison of the effect of automatic collar ligation method and traditional surgery in the treatment of stage II-III internal hemorrhoids [J]. Zhongguo Guankang Medical,2019,31(13):18-19+22. [2]Wang Junxia. The effect of systematic nursing intervention on the quality of life of patients with mixed hemorrhoids after performing adhesive ring ligation combined with external hemorrhoid excision and peeling[J]. Henan Medical Research,2017,26(23):4404-4405.