Introduction to Hemorrhoid Therapy

  China is one of the first countries to recognize hemorrhoid disease, and has accumulated a lot of experience in treatment through generations of therapy; especially in recent years, some new devices and drugs are expensive, and the efficacy of the treatment is only based on the publicity can not be followed. For this reason, I would like to try to make a comparison of some of the therapies contacted based on clinical experience, for reference only.  A, drug therapy 1, oral medicine: clinical use generally has a certain anti-inflammatory, swelling, ulceration, pain, hemostasis, diarrhea, laxative, qi, blood, promote wound or ulcer healing and other effects. There is no oral medicine for hemorrhoids that has the effect of eradicating or cutting off the hemorrhoids, and the current trade names of certain drugs are easily misunderstood as having this effect.  2, topical medications: including topical lotions, topical medications, sitting medications, enemas and so on, in addition to having a similar effect with oral medications, as post-operative adjuvant therapy is indispensable. Some of the topical drugs can be used to eliminate hemorrhoids, anal fissures, warts, anal wet diagnosis and other diseases, such as withered hemorrhoids nail, compound yellow cream, warts enemy, hemorrhoid bath.  3, withered hemorrhoid injection medicine: is the medicine solution injected in the internal hemorrhoid therapy. The former is painless and quick but the long-term effect is not as good as the latter, suitable for the old and sick; the latter has better long-term effect but is more painful than the former, and is contraindicated for those who have unsound blood clotting mechanism.  The latter has a good long-term effect but is painful. It is a reliable treatment to eradicate hemorrhoids, and has the advantage of being simple to operate and does not require special preoperative preparation or postoperative care. For different purposes, there are many variations, such as direct ligation, which is easy to perform and suitable for internal hemorrhoids; through ligation, which prevents dislodgement and is suitable for large internal hemorrhoids; external peeling and internal ligation, which reduces pain and is suitable for mixed hemorrhoids; ligation and injection, which promotes the necrosis process and is suitable for internal hemorrhoids; external cutting and internal ligation, which helps preserve the normal tissue structure and is suitable for internal and external hemorrhoids; ligation and hanging method, ligation and lateral cutting method, which prevents anal stenosis and is suitable for solving multiple hemorrhoids at one time. The ligature hanging method and ligature lateral incision method prevent anal stenosis and are suitable for solving multiple hemorrhoids at one time.  2. Excision method: It is the therapy to remove hemorrhoids directly. It can be divided into direct excision method, suitable for external hemorrhoids; excision suture method, suitable for internal hemorrhoids, mixed hemorrhoids; external incision and internal suture method, suitable for internal and external hemorrhoids, etc. The excision method is generally used less because of the need for strict aseptic preparation, operation and care, as well as post-operative complications are common.  3, device method: including hemorrhoid-specific devices and economic development of non-specific devices. The former, such as the internal hemorrhoid ligature, replaces the wire with a rubber ring and the ligature with a ligature, and is used to treat internal hemorrhoids, which is easy to operate and reliable, and is one of the important treatments for internal hemorrhoids. The latter, such as laser cautery, liquid nitrogen freezing, infrared coagulation, pph, etc., are all effective for internal hemorrhoids, but there are complications such as postoperative infection, bleeding, scar stenosis, and slow wound healing, which are not superior to ligation and injection methods when measured by the criteria of easy operation, painless postoperative, and consolidation of long-term efficacy. Moreover, the equipment is expensive and invariably increases the burden on the patient, so it cannot yet be used as the preferred treatment for hemorrhoids.  It is worth mentioning that all therapies are for patients, and exaggerating the efficacy at will is an inhumane act for the patient and a short-term act that breaks the trust of the doctor. This is the reason why some therapies have gone to great lengths but have not yet gained a firm foothold and have disappeared.