What Are the Different Types of Hemorrhoid Surgery?

Hemorrhoid painless surgery, that is, PPH surgery, is the most popular treatment method for hemorrhoids in the world today. PPH in Chinese means "surgery for hemorrhoids and rectal mucosa prolapse". The mechanism of PPH surgery method is on the internal hemorrhoids above the prolapsed internal hemorrhoids. The mucosa and submucosal tissue of the intestinal wall of the lower rectum are resected annularly at the edge, and the distal and proximal mucosa are anastomosed at the same time as the resection, so that the prolapsed internal hemorrhoids and mucous membranes are suspended and pulled upwards without prolapse. At the same time, because the arteries that supply hemorrhoids from the superior rectal artery in the submucosa are cut off, the blood supply to hemorrhoids is reduced after surgery.

Hemorrhoid painless surgery

Hemorrhoid painless surgery, or PPH surgery, is the most popular hemorrhoid treatment in the world today.

PPH technology-painless minimally invasive hemorrhoid surgery

Medically referred to hemorrhoids include

Treatment principle

DNR Dornier Plasma Low Temperature Ablation, using conductive media (salt), highly ionized particles in the plasma area formed around the electrode to crush the molecular chains of organic molecules in the tissue, separate the molecules from the molecules, and locate them Ablation of the lesion. Because current does not flow directly through normal tissue, normal tissue has very little fever. The data showed that the surface tissue temperature was maintained at 40-70 ° C during the treatment. It not only ensures that the helical structure of the collagen molecule shrinks, but also maintains the vitality of the cell. In addition, the thermal permeability is small, so whether the direct or indirect tissue damage is very small.

Advantages of treatment

It uses low-temperature plasma titanium treatment head to coagulate and resect the lesion at a low temperature of about 40-70 ° without destroying normal tissue. Quickly block blood supply to hemorrhoids or reduce venous reflux, causing hemorrhoids to shrink quickly. And DNR low-temperature plasma surgery is highly regarded in the anorectal treatment industry for its painlessness, no radiation, less bleeding, fast healing, wide clinical indications, and one-time completion of treatment.

cook gun minimally invasive treatment

The COOK hemorrhoid gun is painless and non-invasive for the treatment of hemorrhoids. Its treatment principle is also described above. It uses a ligature ring to make the hemorrhoids automatically shrink and fall off, so it does not hurt the body tissues like traditional surgical operations. It just uses " The "gentle" method allows hemorrhoids to disappear automatically, and in this way, there is no so-called pain. It only takes one shot to complete the treatment, which is efficient and painless.

COOK hemorrhoid gun is safe and effective. As the saying goes, practice is the only way to test the truth. After years of clinical practice in developed countries in Europe and the United States, COOK hemorrhoid gun patients rarely experience postoperative recurrence or complications. It is So far, the safest and most effective method for treating hemorrhoids, it has gradually spread in the country and gradually introduced the American COOK hemorrhoid gun. ^[1]

Indications for treatment

Internal hemorrhoids, external hemorrhoids, mixed hemorrhoids, anal fistula, rectal polyps, etc.

The American DNR plasma low-temperature ablation technology has a significant effect on the removal of diseased tissues of anorectal diseases such as internal hemorrhoids, external hemorrhoids, mixed hemorrhoids, anal fistula, and rectal polyps, as well as tissue adhesion and decomposition surgery caused by various surgical procedures.

Hemorrhoid artery ultrasound Doppler system

Hemorrhoid artery ultrasound Doppler examination system is an organic system that integrates Doppler ultrasound exploration and hemorrhoid artery vascular ligation operation as an efficient, simple, safe, minimally painful, minimally invasive, and short hospital stay. The system accurately locates the hemorrhoidal artery according to the ultrasound transmitted and received by the probe, displays the depth, and performs arterial ligation on the dentate line through the window at the front of the probe. It has the characteristics of precise positioning, fast ligation, and minimally invasive.

The unique features of the hemorrhoid artery ultrasound Doppler examination system are as follows:

1. A large number of clinical applications in Europe and the United States have proven that the risk is low, minimally invasive, painless, the operation time is short, and the operation time is only 10-20 minutes to complete.

2. Compared with conventional hemorrhoidectomy, Doppler-guided hemorrhoid artery surgery has a smaller wound surface and a faster recovery speed, and can return to normal activities in a short time.

3. After the artery is successfully ligated, the blood supply to the hemorrhoids is reduced, and the hemorrhoids begin to shrink, so that the bleeding and pain symptoms can be effectively controlled.

4. After the tension in the hemorrhoid lesion is reduced, the connective tissue in it begins to regenerate, which further promotes the contraction of hemorrhoids and eventually achieves the desired therapeutic effect.

Preoperative precautions

What preparations should be done before and after hemorrhoid surgery:

1. ^[2] Diet control before hemorrhoid surgery: Control diet before surgery, do not consume too much, or consume too much food, so as not to cause stool excretion during surgery, cause wound pollution, cause infection, and avoid spicy stimulation of food To prevent excessive capillary congestion in the anorectal area and excessive bleeding during the operation.

2.Be prepared for mental state and sleep before hemorrhoid surgery: comfort the patient before the operation, try to make the patient assured and quiet to reduce pain and bleeding. Relaxing the spirit and maintaining sufficient sleep is conducive to muscle relaxation and convenient surgical treatment.

What is the cost of hemorrhoid surgery? Experts say that it will be charged according to your specific ease of treatment. It varies from person to person.

3. Quit smoking and alcohol: Surgical treatment requires local anesthesia. Patients who have long-term smoking and alcohol consumption are not very sensitive to the anesthetic, which may cause the anesthetic effect to be unsatisfactory and affect the surgical effect. Advise patients to quit smoking and alcohol.

4.Intestinal preparation: Under conditions, enema with warm saline, coupled with Kaisailu to discharge intestinal excreta, is conducive to wound healing, prevent infection, and is also conducive to operation during surgery.

Hemorrhoid preparation before painless surgery

(1) Pre-operative medical staff should pay attention to understand the patient's thoughts , correctly explain the treatment plan, comfort the patient not to be overly nervous, correct some of the patient's incorrect mentality in time, try to relax the emotions, and for some over-stressed patients, the night before surgery Sedatives can be taken orally to ensure adequate sleep and to receive surgery in a good state.

(2) Pay attention to reasonable diet. The day before surgery does not require fasting, as long as the diet structure and intake are properly controlled. The food should be semi-liquid and slag-free, so as to avoid excessive feces from excessively thick food, which can stimulate the anus during postoperative defecation and cause bleeding from the wounds. Patients should be advised to quit drinking and smoking, avoid spicy and cold unclean foods, and avoid postoperative Stimulate the anus and increase pain.

(3) It is important to prepare for bowel cleansing . Because many patients with hemorrhoids are often accompanied by habitual constipation, constipation, cholecystitis, prolapse of the anus, and other conditions, if the fecal accumulation is not discharged before surgery, it will increase the difficulty of defecation after surgery, which is not good for the wound. Therefore, under the conditions, you can choose warm saline the previous night, clean the enema, or take 20 grams of soaked water for oral administration; the simpler can be squeezed into the anus with 2 plugs 2 hours before the operation. , Excretion of feces. This is conducive to surgical operation, reduces infection of anal wounds, can reduce the number of postoperative defecations, delays defecation time, and is conducive to wound growth and healing.

Postoperative care for hemorrhoids

1. Within 24 hours after hemorrhoid surgery, urinate once every 4 to 6 hours .

In particular, patients after ramie should emphasize regular urination and drink plenty of water, because the urination reflex is not sensitive before ramie is released or within a few hours of contact, and careless urination may cause urinary retention. If you do not urinate 8 hours after surgery and feel abdominal pain and bulging, it is indicated that there is urine retention, and it is advisable to perform hot compresses to promote urination, if there is no effect on catheterization.

2. Bed rest should be performed within 24 hours after hemorrhoid surgery. Reducing activity can reduce wound pain and bleeding.

After that, you can appropriately increase the time to get out of bed or do some light physical activity. Appropriate early activities can help promote blood circulation and help the wound heal in the first stage, but avoid all activities that involve standing or sitting for a long time.

3. Defecation should be controlled within 1 to 2 days after hemorrhoid surgery. Generally, diet is not absolutely prohibited.

However, liquid, semi-liquid diets such as milk, lotus root powder, lotus root lotus root, porridge, thin noodles, etc. should be mainly used at first, and fruits such as bananas, apples, and oranges can be properly eaten to maintain smooth stool. It is necessary to prevent the defecation from cracking the wound due to constipation, resulting in bleeding and edema, increasing patient suffering, and prolonging the healing time. You can use some laxative drugs to prevent constipation in the first few days.

4. Strengthen perineal care and cleaning after hemorrhoid surgery.

Available PP powder solution or traditional Chinese medicine after bathing, 1 or 2 times a day, after changing the Chinese medicine and suppository suppository. If the anus is edema, then Glauber's salt bath can be added, and the swelling and pain relieving cream can be used for dressing.

5. Pay attention to wound healing during dressing change.

In order to prevent granuloedema and anal stenosis, it is necessary to deal with the injured surface accordingly.

PPH minimally invasive painless surgery "take hemorrhoids" revolution

PPH is an anastomotic hemorrhoidectomy, which is suitable for all types of hemorrhoids, especially patients with severe internal hemorrhoids and partial rectal mucosal prolapse. The principle is: while retaining the anal pad, circular resection and anastomosis of part of the internal hemorrhoids and the upper mucosa and submucosa of the hemorrhoids are performed, and anastomosis is performed. It not only blocks the blood supply of hemorrhoids, but also suspends and fixes the slippery tissue, and restores the pathological state of the anal canal to the normal anatomical state. During the operation, first expand the anus, sew the rectal mucosa in a circle about 4 cm above the dentate line (the border between the rectum and the anal canal), and then insert the PPH stapler into the anus. The stapler can prolapse the mucous membrane band. After the removal, the whole process takes about half an hour.

Anders therapy

1.Leading injectable drugs

Compared with the traditional injection therapy, the key advantage of An's injection therapy is the new generation of hemorrhoid injection medicine "Xie Bei Injection". After being injected, Gubei injection has strong atrophic and astringent effects, and at the same time does not form local induration and necrosis. It is currently the only non-sclerotic necrotic hemorrhoid injection approved by the country.

In the past, injections either caused local sclerosis or necrosis. The drawback was that the efficacy and safety could not be taken into consideration. Considering safety, only the dosage was reduced, but the efficacy was poor. In the pursuit of effects, only the dosage was increased, but side effects would occur. The clinical practice is to reduce the amount to ensure safety.

2. Leading clinical effect

Anshi injection therapy has expanded its scope of application. The indications of previous domestic injection therapy were expanded from initial internal hemorrhoids to mixed hemorrhoids and varicose veins in various periods. The curative effect was significantly improved. The hemorrhoids atrophied immediately after the injection of internal hemorrhoids, and they were cured in about 1 week. The total effective rate was 100%, and the cure rate was over 95%. In terms of safety, there is no local necrosis and no induration after injection, so there is no bleeding and rectal stenosis. It can be said that it solves the most worrying problems for clinicians and patients.

3. Another major innovation in An's injection therapy: anesthesia

The pain after injection therapy is small, but the pain is also more obvious during the injection, and there will be a strong sense of bloating, and a sense of convenience. Although there are anaesthesia methods such as sacral anesthesia, spinal anesthesia, or intravenous anesthesia (general anesthesia) to alleviate this pain, these anesthesia requires a full-time anesthesiologist and ECG monitoring during anesthesia, which is not safe in the same fashion. ^[3]