What are the surgical treatment options for hemorrhoids?

Oct 31, 2023 Source: Cainiu Health
Dr. Li Jingxiang
Introduction
Hemorrhoids refer to piles. Generally, surgical treatments for hemorrhoids include TST minimally invasive surgery, excision of thrombosed external hemorrhoids, external stripping and internal ligation for mixed hemorrhoids, and circular stapled hemorrhoidopexy. TST minimally invasive surgery selectively removes the diseased mucosal tissue based on the distribution and degree of prolapse of the patient's hemorrhoidal masses, while preserving normal mucosal tissue.

Hemorrhoids refer to piles. Generally, surgical treatments for hemorrhoids include TST minimally invasive surgery, excision of thrombosed external hemorrhoids, external dissection and internal ligation for mixed hemorrhoids, and circular stapled hemorrhoidopexy. Specific details are as follows:

1. TST Minimally Invasive Surgery: This procedure involves selectively removing the mucosal tissue in the affected areas based on the distribution and degree of prolapse of the hemorrhoidal nodes, while preserving normal mucosal tissue.

2. Excision of Thrombosed External Hemorrhoids: This surgical method is typically used to treat thrombosis within external hemorrhoidal masses that show no signs of shrinking. During the procedure, the physician makes an incision into the hemorrhoidal tissue, removes the thrombus, and then sutures the wound, effectively relieving severe pain and discomfort.

3. External Dissection and Internal Ligation for Mixed Hemorrhoids: This is one of the common and classic surgical approaches for mixed hemorrhoids, involving surgical剥离 (dissection) of the external hemorrhoid component and ligation (tying off) of the internal hemorrhoid component.

4. Circular Stapled Hemorrhoidopexy: This procedure uses a circular stapler to remove a ring of mucosa above the hemorrhoids, thereby interrupting their blood supply and causing them to shrink or disappear. It generally produces rapid results.

If hemorrhoids cause discomfort, prompt medical attention is recommended to prevent worsening of the condition.

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