1, minimally invasive was originally intended to reduce the pain of surgery, why instead? The first is that patients do not know enough about hemorrhoid surgery itself, plus many people around misinformation that hemorrhoid surgery is quite painful, and now the network is also very developed, there is also a lot of misleading information online, and over time, a sense of fear, patients would rather believe in some playing “minimally invasive”, “painless without hospitalization Patients would rather believe in hospitals with “minimally invasive” and “no pain, no hospitalization” advertisements than go to regular hospitals for standardized treatment. The second is that some so-called minimally invasive therapies are actually not minimally invasive themselves, but only in the name of certain types of equipment or devices to make people feel that this is minimally invasive surgery, and if not handled properly, these procedures can cause more trauma than traditional surgery, including lifelong sequelae (anal stenosis, etc.) that can seriously affect the quality of life. 2, can hemorrhoids be minimally invasive surgery? Minimally invasive is the trend of today’s surgery. It is a new medical concept that strives to improve efficacy while minimizing damage and protecting function. With the progressive development of technology, the use of a large number of advanced surgical instruments, such as ultrasonic knives, anastomoses, microsurgical instruments, etc., is a good helper for surgeons. For the treatment of hemorrhoids, surgery is not necessary in the early stages because the symptoms are mild and can be relieved by adjusting the diet and bowel habits or by supplementary medications, and for hemorrhoids that cannot be treated conservatively, surgery is required. In addition to traditional surgery, there are many other surgical procedures that rely on instruments, such as collar ligature surgery (RPH), transanal anastomosis (PPH, TST), laser surgery, etc. These methods have been in clinical practice for a long time, but each surgical method has its indications, in other words, if the surgical plan is developed according to the specific situation of each patient, it will produce good results In other words, if the surgical plan is tailored to each patient’s specific situation, it will produce good results, minimize postoperative pain and related complications, and achieve the goal of minimizing invasiveness. If you’re looking for a new way to get the most out of your home, you’ll be able to get the most out of it. 3. Does hemorrhoid surgery hurt or not? The pain is unavoidable, and each person’s tolerance for pain is completely different, and particularly sensitive people may feel the pain more strongly after surgery. Traditional surgery does involve a period of postoperative pain, but this can be minimized by aggressive analgesia before and after surgery. The use of instrument-operated surgery, such as the aforementioned rubber ring ligature surgery (RPH), transanal anastomosis surgery (PPH, TST), etc., if the standard of operation is standardized, then the purpose of minimally invasive, the pain level will be significantly reduced than traditional surgery, and the pain cycle will be shortened. 4, will anal incontinence after hemorrhoid surgery? This is where many patients have questions. Maintaining anal self-control is mainly controlled by the sphincter muscle around our anal canal, while the anal cushion tissue in the hemorrhoid area is involved in synergy, but only plays a small part. Conventional surgery does require removal of the anal cushion tissue area, but the body has compensatory functions and through a period of recovery, is not going to have problems with anal incontinence. If the excision is too deep and damages the internal sphincter, the postoperative anal self-control function will be affected and fecal incontinence (leakage of air, fluid, etc.) will occur; if the excision is too large and damages too much of the normal skin of the anal canal, the problem of anal stenosis will occur. Therefore, minimally invasive surgery for hemorrhoids is, in the end, a sense of protection of the anorectal function, with minimal trauma in exchange for maximum efficacy, otherwise what is the use of even having modern tools? If you’re not careful, you’ll make a mistake, and minimally invasive becomes seriously invasive.