Every time you go to the toilet, it’s a transmigration. This phrase is no exaggeration when it comes to hemorrhoid patients. Pain and blood in the stool can be the norm in the life of hemorrhoid patients. The pain around the anus when defecating makes people want to push and not dare to push …… The actual fact is that you will be able to get a lot more than just a few of these. The pain from hemorrhoid surgery is more intense than this, so let’s not take this blessing. You might not have any misconceptions about hemorrhoid surgery! There are thousands of clinical hemorrhoid surgeries, and there is always one for you, such as the anastomotic hemorrhoidectomy. What is a clutch hemorrhoidectomy? An anastomotic hemorrhoidectomy is a procedure that uses a circular anastomosis to remove the mucosa and submucosa proximal to the dentate line through the anal loop, thus causing the anal cushion to move up to its normal position while cutting off the branches of the hemorrhoidal supply artery. The specific surgical principle is to remove the mucosa and submucosa of the lower rectal wall through an anastomosis above the hemorrhoid, and then anastomose the distal and proximal mucosa and submucosa so that the prolapsed internal hemorrhoid is suspended and pulled upward and no longer prolapses. Since the hemorrhoidal artery from the superior rectal artery located in the submucosa is cut at the same time, the blood supply to the hemorrhoid is reduced after the operation, and the hemorrhoid mass usually gradually shrinks about 2 weeks after the operation. In principle, this resection does not remove the hemorrhoid mass, but for large, severely prolapsed circumferential hemorrhoids, the upper part of the hemorrhoid can also be removed at the same time. It is clinically indicated for patients with III and IV degree internal hemorrhoids and mixed hemorrhoids with prolapse as the main symptom, especially for annular prolapsed internal hemorrhoids, and secondly, for patients with II degree internal hemorrhoids for which conservative treatment is ineffective, priority can be given to device treatment, and an anastomotic hemorrhoidectomy can be chosen after treatment relapse. Clutch hemorrhoidectomy for hemorrhoids has significant advantages Compared to traditional, direct-acting hemorrhoidectomy, clutch hemorrhoidectomy is effective in treating bleeding caused by circumferential internal hemorrhoids and hemorrhoids, and the short-term benefits are more obvious. The main features are the simplicity of the procedure, less pain for the patient, as well as less intraoperative bleeding and better wound healing. In addition, the operation is more in line with the anatomical and physiological characteristics of the human body, which can ensure that the patient has a more intact anal cushion, so that his normal exhaustion and defecation are not too much affected. At the same time, the patient’s hospital stay, operation time and return to normal activities are shorter, and the incidence of postoperative complications, constipation and itching is lower. Clutch hemorrhoidectomy has shortcomings, and good prevention and control is less troublesome Clinically, patient satisfaction with clutch hemorrhoidectomy is relatively high, but the incidence of recurrent prolapse and re-intervention of prolapse in patients undergoing clutch hemorrhoidectomy is not low. A study investigating the treatment outcomes of both anastomotic hemorrhoidectomy and the emerging hemorrhoidectomy procedure, ligasure hemorrhoidectomy, found that anastomotic hemorrhoidectomy had a longer operative time, a higher incidence of residual superfluous skin and prolapse, and a higher rate of postoperative recurrence. For patients with grade III-IV hemorrhoids, there is also a higher risk of recurrent prolapse at 2 years postoperatively. In addition, anastomotic hemorrhoidectomy has been associated with several specific complications, such as rectovaginal fistula, bleeding at the staple line, and stenosis at the staple line. A systematic review of 784 articles including 14,232 patients found that the overall complication rate of anastomotic hemorrhoidectomy ranged from 3.3% to 81%. Among them, the risk of complications after anastomotic hemorrhoidectomy is increased due to anemia and advanced age. Therefore, treatment with clutch hemorrhoidectomy is not recommended for elderly patients with anemia. In conclusion, for patients with recurrent hemorrhoids after device therapy and for patients with III – IV degree hemorrhoids who are willing to undergo surgery, anastomotic hemorrhoidectomy is feasible. And for patients seeking less painful hemorrhoids, clutch hemorrhoidectomy can be one of the alternative treatments to hemorrhoidectomy. Of course, this needs to be combined with the professional advice of a physician. References [1] Committee of Colorectal and Anorectal Diseases of the Chinese Society of Integrative Medicine. Chinese guidelines for the treatment of hemorrhoid disease (2020) [J]. Colorectal and Anal Surgery,2020,519-526. [2] Fang Xianye, ed. Surgical techniques in abdominal surgery, 2nd edition [M]. Beijing: People’s Military Medical Publishing House,, 2008.01:491-492. [3] Wang Shengqiang. Hospital health education management specification [M]. 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