How to treat external hemorrhoids?

When it comes to hemorrhoids, I believe many people are familiar with them, and even many people have suffered from them. Hemorrhoids are usually lesions in the anal area, and the symptoms are mostly pain or a foreign body sensation. Once you have hemorrhoids, sitting down becomes a luxury. When you walk, you will clearly feel a foreign body hanging in the anus, which is very uncomfortable. Now, hospitals have a complete set of treatments for hemorrhoids, including drug treatment and surgical treatment. The editor will introduce them to you in detail below.

External hemorrhoids treatment

Surgery

Indications for surgery: Conservative treatment is ineffective, hemorrhoids are severely prolapsed, large fibrotic internal hemorrhoids, injections and other treatments are not effective, and there are anal fissures, anal fistulas, etc.

Principle of surgery: Reset the prolapsed anal cushion through surgery, preserve the structure of the anal cushion as much as possible, and thus affect the ability to control bowel movements as little as possible after surgery;

Preoperative preparation: When there are ulcers or infections on the surface of internal hemorrhoids, conservative treatment such as laxatives and warm water sitz baths should be performed first, and surgery can be performed after the ulcers have healed; bowel preparation should be performed.

Surgical method ① Thrombosed external hemorrhoidectomy is suitable for patients whose pain is not relieved or the lump does not shrink after conservative treatment of thrombosed external hemorrhoids. ② Traditional hemorrhoidectomy is external peeling and internal ligation. ③Whitehead procedure is a classic procedure in textbooks, which can easily lead to anal stenosis and is rarely used in clinical practice.

④PPH surgery: hemorrhoidal rectal mucosal circumcision and stapling with stapler. It was created by Italian doctor Longo and began to be promoted in 1998. It is mainly suitable for prolapsed III-IV grade mixed hemorrhoids, annular hemorrhoids, and some severely bleeding II grade internal hemorrhoids. The mechanism of PPH in treating prolapsed hemorrhoids: circular resection of 2 to 3 cm mucosa and submucosal tissue at the lower end of the rectum to restore the normal anatomical structure, i.e., the anal cushions are returned to their original position; the resection of the submucosal tissue blocks the blood supply of the superior hemorrhoidal artery to the hemorrhoidal area, causing the hemorrhoids to shrink after surgery. Compared with traditional hemorrhoidectomy, PPH surgery has shorter operation time, less postoperative pain, faster recovery and fewer complications, but the equipment is more expensive.