PPH (Procedure for Prolapse and Hemorrhoids), which is an anastomotic loop hemorrhoidectomy, is a new procedure carried out in Western Europe and the United States two years ago, in which two centimeters of mucosa and submucosa of the lower rectum are removed circumferentially, and then anastomosis of the mucosa and submucosa is performed, so that the prolapsed anal cushion is suspended upward and restored to its normal anatomical position. At the same time, the arterial branches supplying the hemorrhoids are cut off, so that the blood flow to the hemorrhoids is reduced and the hemorrhoid nucleus gradually shrinks after surgery, eliminating the bleeding symptoms. According to experts, the principle of clutch hemorrhoid circumcision is completely in line with the new concept of treating hemorrhoids, and it is a revolutionary procedure that will become the preferred choice for treating severe hemorrhoids. Surgical superiority: 1. No pain. 2.Short surgery time and less traumatic complications. 3.Fast recovery. You can recover and be discharged from the hospital in 2-5 days after surgery. 4.Less complications. It fundamentally solves the complications of traditional surgery such as fecal incontinence, anal stenosis and mucosal ectasia. Indications for surgery: III-IV degree hemorrhoids, anemia-causing II degree hemorrhoids, especially annular prolapsed internal hemorrhoids. PPH surgery steps: Step 1: A special round anal canal dilator is introduced into the inside of the anus to partially reset the prolapsed hemorrhoid or prolapsed anal canal mucosa. This step is called “making the package” and the package can depend on the condition of the prolapsed hemorrhoid, which requires a skilled surgeon’s experience. The third step is to unscrew the circular hemorrhoid anastomosis so that the staple head penetrates to the upper end of the purse string and then knot the sutures. The fourth step is to pull the sutures so that the prolapsed mucosal layer is placed in the cavity of the anastomosis, close the anastomosis, and because the anastomosis has a sharp knife and suture system, determine the position and remove the prolapsed mucosa, rest for 30 seconds to stop the bleeding with sutures, remove the dilator and anastomosis, and remove any anal polyps and hemorrhoids that have severe symptoms in a surgical manner. Because PPH is a new procedure that has just been developed, and because it uses anastomoses, which are imported and disposable surgical instruments, it is very expensive (about 10,000 yuan), and the cost will vary depending on the level of the hospital and the local consumption level. If the conventional surgery is used, it can be solved for$3,000 or$4,000 (in case it goes well). Whether it’s an anal polyp or a hemorrhoid, both can be removed completely (lesions removed cleanly), but they can both recur and both have many recurrence-prone factors, so it’s not good to say if these conditions can be cured (if they don’t recur, they’re cured, if they do, they’re not cured).