Does hemorrhoid surgery have to be a flat, neat cut to be considered a clean cut?

In the eyes of many people, hemorrhoid surgery is a very painful operation, and it is already a great deal of courage to make up one’s mind to have it done. Therefore, most people will emphasize with the doctor before going to the operating table: doctor, you must give me a clean cut ah! And once the wound edema occurs after surgery or there is still redundant skin tissue after healing, most of the patients will definitely think: Is it that the doctor did not cut me clean? I would like to make it clear that with modern surgical techniques and the widespread use of automatic ligatures and anastomoses, as well as improved pain relief, the pain of hemorrhoid surgery has been significantly reduced. Even post-operatively, many patients do not feel significant pain, so the surgery is far less scary than one might think. Secondly, not all hemorrhoids need to be surgically removed. Hemorrhoids, also known as anal cushions, are a normal organ tissue in the human body that everyone has and serve to assist in bowel movements. Hemorrhoids are only called hemorrhoids when there is blood in the stool, prolapse and other symptoms. And only when there is prolapse during defecation, need to push back by hand, or prolapse is difficult to push back, or accompanied by serious bleeding, conservative treatment is ineffective before the need for surgery. And for the prolapse can not be back, the pain is very obvious may have to do emergency surgery. Therefore, the purpose of hemorrhoid surgery is not to completely remove the hemorrhoidal tissue, but to allow the anus to return to a normal functional state on the line. In other words, functional healing is the criterion for healing hemorrhoid surgery. Therefore, when a professional anorectal surgeon performs hemorrhoid surgery, he or she will definitely design the surgical incision to preserve a good enough skin bridge for the patient’s anus, so that complications such as anal stenosis and anal fissure will not occur after the wound has healed. Otherwise, the pain caused by anal stenosis will far exceed the pain caused by hemorrhoids themselves. In this way, the skin bridge retained by some patients after the operation will form a skin bulge, giving patients the feeling as if they have not been cut cleanly. And this skin is with the passage of time will slowly level some, really feel uncomfortable, but also in the wound healing 3 months or so, a local anesthesia cut is, the operation only takes a few minutes, no special circumstances, there is no need for hospitalization, rest can go home. In this way, the anal function can be well protected, to avoid anal stenosis and anal fissure and other complications. Therefore, hemorrhoid surgery, especially serious ring mixed hemorrhoid patients, the operation must be retained in the skin bridge, can not simply the pursuit of aesthetic and cut flat, clean, otherwise it is easy to lead to postoperative complications, even if a small amount of postoperative redundant skin tissue is not at all need to worry about, only the recovery of postoperative anal function on the good. For serious postoperative edema, can be first conservative treatment, in the case of postoperative conservative treatment is not good and then local pruning, which will not significantly affect the patient’s postoperative healing and anal function.