“No surgery, no hospitalization, no pain, treat as you go, eradicate at once”, this advertising phrase appears most frequently in hemorrhoid advertising, and sounds very good, very attractive to people suffering from hemorrhoids leap to try. The truth is how, in order to make this clear and more layered, we may want to break these groups of words apart and explore them separately. 1. “No surgery” What do you mean by “no surgery”? This question is not difficult for anorectal doctors to answer, but for the majority of hemorrhoid patients, it is difficult to say clearly. I understand the concept of “no surgery” should not be like this: in the whole treatment process, there is no damage to the integrity of human muscle tissue, in layman’s terms, it does not cause any trauma, otherwise, there is no reason to say “no surgery”. The so-called high-tech hemorrhoid treatment instrument is not in line with the above-mentioned “non-surgical” concept. The current representative of this type of apparatus is claimed to be the United States high-tech products “hcpt”, which is an ordinary treatment instrument, I do not know which imaginative countrymen winks called “American hcpt technology”, God! This kind of low-tech stuff actually become technology? The country has long had a lot of similar products, why crowned with the “United States” or a few foreign word code suddenly become “technology” it? I say this you are not convinced, no matter what model, what is called hemorrhoid treatment apparatus, even if you say the dragon call, is not by electrical energy into heat, so that hemorrhoid tissue denaturation, necrosis, shedding well, there is no mechanical trauma? The actual hemorrhoids are not a lot of people. The epithelium of the anal canal and rectal mucosa tissue is not broken? You dare to say no? Who are you fooling? Of course, there are also a little smarter not to say “no surgery”, but under the banner of “minimally invasive”, seemingly honest, but in fact cunning, more deceptive. The anal canal is only a small place, so if you don’t “minimally invasive”, do you want to turn it off? The anal canal epithelium, which has an important function, is burned to a crisp and smooth appearance, and the original uneven hemorrhoid nucleus disappears without a trace. But it’s even more painful for hemorrhoid patients, the large area of the burned wound, no three or two months to heal, severe pain and discomfort, will also be intimate with the patient through this unforgettable time, please, this is the so-called “minimally invasive”? It’s not all over yet! If you think this is sensationalism or grandstanding, let me tell you why this is happening. The epithelium of the anal canal, which has the function of stretching and extending, is damaged extensively and is replaced by scar tissue after healing, which is hard and not composed of any elastic fibrous tissue. Not only is it stenosis, but the inelastic scar tissue also makes the anal canal not close properly, so it’s not uncommon for a little soup to seep out. So is there a “non-surgical” way to treat hemorrhoids? As far as I know, in addition to conservative treatment with drugs, only simple sclerotherapy and ultrasonic Doppler hemorrhoid artery ligation can be “non-surgical” or “minimally invasive”. 2, “not hospitalized” The pace of modern society makes many people reluctant to spend too much time on medical treatment, especially company owners and white-collar class, is indeed pressed by the busy business can not spare more time, so the treatment of hemorrhoids “not hospitalized” has become a piece of The actual fact is that you can’t get a lot of time out of your busy schedule. The author believes that it is a good thing that you can really do “without hospitalization”, but the key to the problem is not to live in the hospital, but “without hospitalization” is not really beneficial to hemorrhoid patients. The actual fact that some hospital advertisements boast that you can work the next day of surgery is really true? The author will now analyze the “no hospitalization” scam components. The first is that you can go to work the next day, but the severe pain and discomfort, as well as the post-operative requirements of 5-7 days of fluid infusion, it is impossible to do, there are too many examples of this. Secondly, when the patient returns home, who will take care of the pain? Who will take care of the bleeding? Who will take care of the urinary retention? Thirdly, if an accidental dispute really occurs, the patient has no evidence in hand, and the rudimentary outpatient medical records can tell us nothing, or even put the blame on the patient. What’s more, some hospitals and clinics don’t even give patients their medical records and receipts. Fourth, you should not think that not being hospitalized will cost less. According to insider observation, all hospitals that blow up in their advertisements charge far more than the inpatient charges. Just 5-7 days of infusion can easily amount to more than$300 per day, what? You don’t want an infusion! Fine, you’re on your own for all the consequences, what’s really wrong with that, you deserve it! You caused it yourself, you can’t help but to take your place. Fifth, the body has its own rules for recovery from trauma, and the surgery for mixed hemorrhoids takes about 20 days to heal completely no matter what surgical method you use, and the physical and chemical burns may be even slower. The actual “no hospitalization” means that the surgery is done anyway, the money has been received, the wound healing is left to God, this is how I understand it. 3, “no pain” Absolutely no pain is impossible, a little medical knowledge understand that the blood vessels and nerve endings around the anus are very rich, so although anal disease is generally not life-threatening, but the pain is not everyone can endure. The concept of pain should not only be pain, but also severe anal swelling and post-operative urinary retention, which can be no less severe than severe pain. If a skilled and experienced senior anorectal surgeon can only achieve partially painless and partially minimally painful, and only when hospitalized, there are still a few patients who are in pain and need to take temporary measures to relieve pain and control the pain to a level acceptable to the patient. It is the PPH that is blown out of proportion, but it is also very difficult to achieve a pain-free level, and I believe that I can get the default of my peers by saying so. Patients who are hospitalized can have their pain treated by doctors in a timely manner, but who can treat patients who are not hospitalized at home? Is it still possible to be “pain-free”? Once the surgery is done, most patients acquiesce to the reality, the teeth fall out also swallowed into the stomach, few people look back to pursue the untrue advertising. Any doctor can do this, anyone can do it before the anesthesia effect disappears, it is not a masterpiece at all, the problem is how to do after leaving. The first part of the article has already mentioned a lot of content related to “follow the treatment”, but here we are mainly talking about the scientific nature of “follow the treatment”. If it is a simple external hemorrhoid, anal fissure, subcutaneous fistula, etc., the outpatient treatment can be done completely “on the go”, if the “on the go” is absolute, no matter what the degree, what kind of disease, such as ring-shaped mixed hemorrhoids, high complex anal fistula, deep abscess, are The actual “follow-the-sun” is obviously not scientific. First of all, “treat as you go” is an irresponsible behavior, although you do not admit that it is a surgery, but the trauma caused is objective, whether due to physical, chemical, mechanical and other which factor, the essence of the trauma is the same, and needs to be recovered under the supervision of a doctor. For example, now, and throwing out the medicine for hemorrhoids, anal fissures, fistulas, abscesses, polyps, anyway, there is nothing he can not cure, from this point can be concluded that he can not cure anything, blowing a little too mysterious, besides, with corrosive drugs and scalpel there is a fundamental difference? The actual fact is that you can’t get a lot of money from the company. The second is that the real “treatment as you go”, from then on never to return is just a series of follow-up projects, the cost is not low, medical and service quality is far from hospitalization. In this background condition, “with the treatment as you go” has become a bait, deceiving patients to jump into the medical trap. 5, “one-time eradication” “one-time eradication”, also known as “one-time cure”, that is, to make patients believe that after a one-time treatment will never recur. Can hemorrhoids be eradicated (cured)? This is a question that almost every patient is concerned about when they visit the clinic. The answer to this question starts with human evolution. When humans evolved from reptiles to upright animals, their anal canal was subjected to unprecedented pressure, and a new tissue called the “anal pad” was created at the end of the rectum in the anal canal to assist the anal sphincter in controlling the function of defecation and to prevent humans from developing hemorrhoids due to excessive pressure in the upright It prevents human beings from leaking feces due to excessive pressure in the anal canal. When people have poor diet, lifestyle and bowel habits, the anal cushion may become congested and eroded, pathologically hypertrophied or even prolapsed, which is commonly referred to as “hemorrhoids”. Therefore, hemorrhoids are a small price to pay for human evolution. The scientific point is that the purpose of hemorrhoid treatment is not the so-called “cure”, but the elimination or relief of symptoms, the treatment of hemorrhoids does not exist in the true sense of a cure. The author can understand the temptation of “one-time eradication” in this way: “one-time” means that the patient is tricked into going to the treatment once and then does not want to go a second time, so of course it is “one-time”. The “eradication” is just a slanderous secret, who told you not to pay attention to diet? Besides, they are using guerrilla tactics, hitting a shot for a place is the usual trick, not afraid that no one is cheated. To sum up, the untrue words “no surgery, no hospitalization, no pain, treat as you go” are actually a trap to deceive patients. From another point of view, patients should not be gullible and be cautious. As long as you always remember that there is no perfect method in the world, there is no good thing falling from the sky, you will not be deceived into the trap and can not extricate yourself. In addition, the anus is a common and important organ, you should not take it lightly, not just for cheap, but to cherish their own body organs.