The anastomotic suprahemorrhoidal circumferential hemorrhoidectomy, which is called anastomotic suprahemorrhoidal circumferential hemorrhoidectomy because of its Chinese meaning of treatment of prolapse and hemorrhoids, is indicated for patients with severe internal hemorrhoids and partial rectal mucosal prolapse. The principle is that the anal cushion is preserved and a portion of the internal hemorrhoid and the suprahemorrhoidal mucosa and submucosal tissue are instantly anastomosed while the circumferential resection and anastomosis is performed. Both the blood supply to the hemorrhoid is blocked and the slipped tissue is suspended and fixed, restoring the pathological state of the anorectum to its normal anatomical state. How is the anastomosis different from traditional surgery? Traditional surgery is performed at the anal orifice, while the surgical treatment site of anastomosis is in the lower rectum. Traditional surgery removes the external hemorrhoids and ligates the internal hemorrhoids, which are traumatized and require the process of denudation, daily fumigation and medication changes, severe pain during defecation, and must heal gradually. The anastomosis is performed in the lower part of the rectum, and the anastomosis is performed at the same time. The whole procedure takes only a few minutes, and the anal cushion tissue is preserved. On the first day after surgery, the patient can defecate normally, and no special change of medicine or fumigation is needed. In contrast to conventional surgery, which requires severing the sphincter to prevent anal stenosis, the anastomosis procedure does not damage the sphincter, so no anal stenosis or fecal incontinence occurs. While conventional surgery is symptomatic, the anastomotic supraclavicular hemorrhoidectomy procedure is etiologic. What are the advantages of clutched suprahemorrhoidal circumcision over traditional surgery? The anastomosis procedure has the following advantages because it preserves the anal cushion, does not damage the anal sphincter, there is no surgical incision in the anal area, and the physiological function of the anal cushion is preserved to the maximum extent: 1. Less painful after surgery. Because the hemorrhoid is pulled back to its original position and the blood vessels that provide blood to the hemorrhoid are cut off without damaging the perianal skin, there is almost no obvious pain after surgery. 2. The operation time is short. The operation usually takes about 30 minutes, and because it is a non-open wound, there is little bleeding and no need to change medicine after the operation, and you can resume normal life in one to two weeks. 3.The normal function of the anus is preserved to the greatest extent. Because the anal sphincter is not damaged, there are no complications such as fecal incontinence and anal stenosis. 4.Low recurrence rate of hemorrhoids and beautiful appearance. What are the people for whom the clutch hemorrhoid circumcision is suitable? Because of less damage and quicker recovery, clutch hemorrhoidopexy is especially suitable for middle-aged and elderly people, white-collar people who pay attention to efficiency and patients who are especially afraid of pain and have mild prolapse and internal prolapse of rectal mucosa. It is also more suitable for patients with circumferential mixed hemorrhoids with bleeding and prolapse as obvious symptoms. Special reminder: It is not recommended for pregnant women, children, those with persistent constipation, pelvic tumors, portal hypertension, Buicka syndrome or those who cannot tolerate the procedure. Prospects for clutch suprahemorrhoidal mucosal circumcision To date, 1 million hemorrhoid patients worldwide have successfully undergone clutch suprahemorrhoidal circumcision, and in China, nearly 200,000 patients have successfully undergone the procedure since it was performed in 2001. Although there is still some room for improvement, as a new surgical procedure with very different principles and concepts from the traditional procedure, we have reason to expect that the anastomotic suprahemorrhoidal circumcision will bring benefits to more patients.