External hemorrhoid surgery process

Patients with external hemorrhoids basically need to undergo some examinations before taking appropriate surgical treatment. Currently, the effects of drug treatment and conservative treatment for this disease are not so good, but will aggravate the progression of the disease. Therefore, the best way is to have surgery in time, but after the operation, you must pay attention to care in your daily life, which is also very critical to prevent bacterial infection.

(3) Connective tissue external hemorrhoids do not require special treatment, only general management is required. Patients are required to adjust their bowel habits, avoid squatting on the toilet for too long; take a warm water sitz bath after defecation or before going to bed; and keep the anal skin dry. When inflammatory swelling and pain occur, fumigation and sitting baths can be used, and hemorrhoid ointment, golden ointment, etc. can be applied externally. Antibiotics can also be given appropriately. If the external hemorrhoid flap is too large to affect the cleanliness of the anal area, or if there is recurrent inflammation and edema, surgical treatment may be performed as appropriate.

(4) Inflammatory external hemorrhoids only require adjustment of bowel habits to prevent constipation, avoidance of alcohol and consumption of hot, irritating foods, potassium permanganate sitz baths after defecation, or spectrum irradiation therapy. If necessary, apply hemorrhoid ointment once a day. Or take metronidazole (Flagyl) 0.4 grams orally, twice a day. For patients with long-term inflammatory edema, surgical resection can be performed. During the acute stage of inflammatory edema, Chinese medicine is taken internally according to TCM syndrome differentiation, combined with external treatments such as fumigation, washing, and external application.

Surgery precautions

The choice of middle incision in external hemorrhoid surgery. When performing surgical resection of the external hemorrhoids and mixed hemorrhoids, a radial incision is made because the anal wrinkle muscles are radially distributed in the anus. The postoperative reaction is mild, the wound is neatly aligned, and the anal function is not affected after healing. External hemorrhoids often correspond to the mother hemorrhoidal artery, so the incision is often made at 3, 7, and 11 o'clock in the lithotomy position. For larger varicose external hemorrhoids or anterior epidermal external hemorrhoids in women, radial incisions alone are not enough to remove the hemorrhoids. If too much skin is left, it is prone to inflammation, pain, and skin hyperplasia, leaving epidermal external hemorrhoids after the operation. If the angle is widened to remove all the external hemorrhoids, the anal canal skin will be damaged too much, causing anal stenosis.

In order to compensate for the above deficiencies, a small incision can be added on one or both sides of the incision during the operation, the marginal venous plexus can be stripped off, and the skin patch can be sutured and fixed. If the skin graft is not well aligned, pain, edema, warping of the skin graft, and slow healing may occur.

During external hemorrhoid surgery, attention should be paid to the location, size and anesthesia of the incision, as well as the changes in the incision when the body position changes, to ensure that the wound is neatly aligned.

Currently, the methods for treating hemorrhoids can be divided into two categories: conservative treatment and surgical treatment.

(1) Conservative treatment refers to oral medication, topical medication, suppositories, fumigation, etc.

(3) Surgical treatment refers to methods such as drug injection, suture ligation, surgical resection, freezing, and laser.