How to treat annular mixed hemorrhoids?

The advantage of this method is that the hemorrhoidal mass is completely removed, the postoperative recurrence rate is low, but the disadvantage is that in the excision of all the hemorrhoids at the same time also excise the skin and mucous membranes of the entire periphery of the anus, and therefore is a non-physiological, destructive and very large operation, the surgery is complex, and the operation time is long, intraoperative bleeding is more, the operation is prone to complications such as infections, splitting of stitches, sensory incontinence, and narrowing of the anal canal, mucus exudation, mucosal ectropion, deformity and anal dysfunction and other sequelae, and thus has not been widely used.

2, external peeling and internal ligation

The advantage is that the operation is simple, for single or relatively isolated from each other mixed hemorrhoids treatment effect is good. The disadvantage is that each excision of hemorrhoidal nuclei can not be more than 3, excision of too little on the extensive lesions of annular mixed hemorrhoids can not achieve the purpose of healing, postoperative anal edema, incision infection, and postoperative anal residual redundant skin, is not conducive to the post-stool anal cleansing, easy to recur, postoperative severe pain, urinary retention, hemorrhage, anal-anal stenosis, anal anal-anal skin loss, fecal incontinence and other serious complications and sequelae, affect the the integrity of anal form and function.

3, external peeling and internal ligation modification

4, preservation of the dentition

5, preservation of the anal cushion

6, preservation of the epithelium of the anal canal

7, anastomosis hemorrhoidal epimastoidal mucosal circumcision

8, ring mixed hemorrhoidal segmental ligation