1, people say “nine out of ten people hemorrhoids”, how high is the incidence of hemorrhoids? According to statistics, about half of the population over the age of 30 suffers from hemorrhoids. Often, before seeing a doctor, they experience long periods of self-treatment. 2.Why do you get hemorrhoids? The exact cause of the development of hemorrhoids is not known. However, there is a relationship between the following factors and the development of hemorrhoids: (1) Age, the older you are, the higher the incidence. (2) Chronic constipation and diarrhea can lead to the development of hemorrhoids. (3) In late pregnancy, uterine pressure leads to poor venous return and predisposes to hemorrhoids. (4) Genetic factors. (5) Excessive force when defecating, squatting on the toilet for a long time. 3.What are the symptoms of hemorrhoids? Blood drips during defecation, with or without anal mass prolapse, and in severe cases you need to push the mass back into the anus by hand. Sometimes it is accompanied by itching and pain around the anus. 4.How are hemorrhoids treated? The principle of hemorrhoid treatment is to eliminate the symptoms. Different treatment methods can be chosen according to different clinical manifestations. (1) Rubber band ligation method is suitable for patients with mild symptoms and less severe prolapse symptoms. The basic principle is to use a rubber band to lace the internal hemorrhoid, and after a week, the laced hemorrhoid tissue is necrotic and falls off. The biggest advantage is that the treatment process does not require anesthesia, is simple and can be done in the doctor’s office, and you can return to normal work after 1 day. The main disadvantage is that the recurrence rate is high and only 2-3 groups of hemorrhoids can be ligated per procedure, which may require more than 2 treatment sessions. (2) PPH surgery, also known as anastomotic hemorrhoid fixation, uses a special clutch to circumferentially remove a section of rectal mucosa, the prolapsed hemorrhoid nucleus is lifted and fixed, the blood supply to the hemorrhoid nucleus is partially blocked, and the symptoms of prolapse and bleeding disappear. Compared to traditional hemorrhoidectomy, it is less painful and has excellent results for prolapsed internal hemorrhoids. The main complications are bleeding and anastomotic stenosis, but due to the continuous improvement of the surgical technique, the incidence is very low. The procedure is performed under anesthesia and does not require hospitalization, so you can go home after the procedure, eat and drink normally, and have uninterrupted bowel movements. (3) Hemorrhoidectomy If the hemorrhoids are particularly severe, or if there are many external hemorrhoids, then hemorrhoidectomy is inevitable. The basic principle is to remove the hemorrhoid nuclei in groups and try to preserve the normal skin to avoid postoperative stenosis. Post-operative pain is severe, but due to advances in surgical techniques and the use of long-acting pain medications, post-hemorrhoidectomy pain is now completely acceptable. Traditionally, hemorrhoidectomy required a period of hospitalization with the application of anti-inflammatory and pain medications, which is no longer necessary. Most patients do not need to be hospitalized for a short period of observation and can go home on the day of surgery. 5.Minimally invasive surgery for hemorrhoids The above described methods of hemorrhoid treatment are internationally recognized as standard surgical methods that have been proven over a long period of time to have a high degree of safety and efficacy. You can currently see a lot of publicity online for minimally invasive treatments for hemorrhoids, such as HCPT, which is the use of an electric knife to remove hemorrhoids. The electric knife is just a surgical tool, not even remotely related to minimally invasive, and improper use can cause serious damage to the root. So remind patients not to believe in the so-called minimally invasive, surgery is always the most important factor for good or bad doctor.