Why Hemorrhoidectomy for Mixed Hemorrhoids Should Be Avoided as Much as Possible

Generally speaking, the reasons for avoiding surgical removal of mixed hemorrhoids as much as possible include the lack of venous valves in the rectal veins and their branches, anal cushion displacement, habitual constipation, perianal infection, and obstructed rectal venous return. The specific details are as follows:

1. Lack of venous valves in rectal veins and their branches: The rectal veins and their branches lack venous valves, which leads to difficulty in blood return, making it prone to blood stasis and increasing the risk of mixed hemorrhoids, accompanied by symptoms such as anal pain and itching. Improving lifestyle habits, such as avoiding prolonged sitting or squatting and maintaining anal hygiene, can help alleviate symptoms.

2. Anal cushion displacement: The anal cushion is short for anal vascular cushion, which functions to close the anal canal and control defecation. When the elastic recoil ability of the anal cushion weakens, congestion, displacement, and hypertrophy may occur, and it can fuse with external hemorrhoids to form mixed hemorrhoids, accompanied by a feeling of anal heaviness. Medications such as erythromycin ointment, tetracycline hydrochloride ointment, and fusidic acid cream should be used under a doctor's guidance for anti-inflammatory purposes.

3. Habitual constipation: Long-term constipation increases abdominal pressure during defecation, obstructing venous return in the rectum and anus, which can easily lead to mixed hemorrhoids and is accompanied by difficulty in defecation. Lactasin tablets, lactulose oral solution, and Cannabis Seed Moistening Intestine Pills should be used under a doctor's guidance to promote bowel movements.

4. Perianal infection: Perianal infections can cause periphlebitis, causing veins to lose elasticity and become dilated, leading to mixed hemorrhoids and accompanied by redness and swelling around the anus. Antibiotic treatments such as Cefazolin Sodium for injection, metronidazole tablets, and tinidazole sodium chloride injection should be administered under a doctor's guidance.

5. Obstructed rectal venous return: Prolonged sitting, constipation, pregnancy, and other factors can cause obstructed rectal venous return, leading to venous dilation and congestion, which can result in mixed hemorrhoids and a feeling of incomplete evacuation after defecation. Surgical treatments such as laparoscopic vein release, open vein release, or bowel resection should be selected under a doctor's guidance to restore the normal structure and function of the rectum and anal canal.

In all cases, treatment should be conducted under the guidance of a doctor to ensure the patient's safety and health.