What should PPH pay attention to after treating mixed hemorrhoids?

Mixed hemorrhoids, also known as internal hemorrhoids and external hemorrhoids. Mixed hemorrhoid is a kind of hemorrhoid disease, which is mainly characterized by varicose veins forming a mass, internal and external connection, and no obvious boundary. Mixed hemorrhoids are varicose masses in the superior and inferior venous plexus of rectum. The internal and external venous plexus of hemorrhoids varicose, expand, communicate and anastomose with each other, and the groove between sphincter disappears, so that the internal hemorrhoid and external hemorrhoid form a whole, which is called mixed hemorrhoid. Undoubtedly, pph has advantages in treating mixed hemorrhoids. So, how to care after pph?

The pathogenesis of hemorrhoids is mainly the problem of "anal pad". Traditional therapy is mostly aimed at hemorrhoids, although it has certain curative effect, but it is not ideal, and the postoperative symptom relief rate is low; Or even if it is temporarily relieved, the symptoms are easy to recur after 1 and 2 years.

Different from the traditional therapy, PPH surgery does not directly treat hemorrhoids, but uses special instruments imported from the United States to annularly cut rectal mucosal prolapse, and at the same time block the anastomotic branches at the end of rectal artery and vein, thus eliminating the root causes of hemorrhoids, so the effect is ideal. Especially for some types of hemorrhoids that are very difficult to be treated by traditional methods, such as mixed hemorrhoids, circular hemorrhoids, severe hemorrhoid prolapse, proctoptosis and so on. PPH surgery also has a good effect.

PPH has a wide range of applications: it has an ideal therapeutic effect on internal hemorrhoids, external hemorrhoids, mixed hemorrhoids, circular hemorrhoids, severe hemorrhoid prolapse, proctoptosis and so on. It can be used for the treatment of ⅲ and ⅳ internal hemorrhoids.

1, anorectal prolapse, feeling of anal prolapse, or urgent and heavy urination. Three quarters of patients with rectal prolapse have prominent tumors in their anus. The initial tumor can return to its original position by itself, and it needs to be stuffed back by hand with the development of the disease, even in the case of coughing, sneezing and lifting weights to increase abdominal pressure. If not reset in time, it can lead to edema, incarceration or strangulation, severe pain, mucosal prolapse, ulceration and bleeding. Problems with defecation regulation and incontinence are also common. Repeated prolapse of rectum can cause relaxation of anal sphincter, and often secretions flow out to pollute underwear, and the perianal skin is wet, itchy and thickened.

2. The main symptom of annular mixed hemorrhoids is bleeding during defecation, or accompanied by prolapse of hemorrhoids. At first, the hemorrhoid nucleus was small and soft, and the hemorrhoid surface was bright red or blue-purple. When defecating, hemorrhoid nucleus does not protrude out of anus. Bleeding, dripping or spraying during or after defecation, bright red blood, mixed feces, intermittent attacks. In the middle stage, the hemorrhoid nucleus is large and bulging. When defecating, the hemorrhoid nucleus comes out of the anus and then recovers on its own. There is less bleeding after defecation than at the beginning.

3. The anal canal of incarcerated hemorrhoid moves down, the hemorrhoid core is everted with anal edema, and thrombosis is the main reason. Anal swelling, partial mucosal ulceration, bleeding, severe pain, passive body jumping, and difficulty in defecation occurred.

4. hemorrhoids surgery failed in the second and third phases.

5. In the second stage, hemorrhoids will have blood, drop blood or jet bleeding during defecation, accompanied by prolapse of hemorrhoid nucleus, which can be restored to its original position after defecation.

6. In the third stage, hemorrhoids will bring blood or drop blood when defecating, accompanied by prolapse of internal hemorrhoids, or standing for a long time, coughing, fatigue, and prolapse of internal hemorrhoids when carrying weight, which must be stuffed back by hand.

7, internal hemorrhoids fourth stage internal hemorrhoids prolapse can not be recovered, internal hemorrhoids may be accompanied by strangulation, incarceration.

Technical advantages of PPH:

1. Safety: It is not necessary to take out the anal pad, so as to preserve the normal function of the anus to the greatest extent and avoid complications such as anal stenosis and anal incontinence.

2, painless: pull the hemorrhoids back from the anus to the original position, and cut off the blood vessels that supply blood to the hemorrhoids, without damaging the perianal skin, so there is almost no pain after surgery.

3, less trauma, quick recovery: stapler mucosal annular resection is a non-open wound with less bleeding, which avoids the trouble of dressing change after operation and can quickly return to normal life.

4. Scope of diagnosis and treatment: annular hemorrhoid, multi-petal hemorrhoid, giant isolated hemorrhoid, internal hemorrhoid, external hemorrhoid, mixed hemorrhoid, annular hemorrhoid, incarcerated hemorrhoid, rectal mucosal prolapse, proctoptosis, etc.

5. Suitable target: due to minor injury, it is especially suitable for middle-aged and elderly people, white-collar workers who pay attention to efficiency, patients who relapse after traditional treatment, and patients with mild proctoptosis and rectal mucosal prolapse.

1. Dietary care for postoperative defecation difficulties: On the first or second day after operation, postoperative urination difficulties are often caused by anesthesia, surgical stimulation, wound pain or dressing compression, and reflex bladder neck sphincter pain and spasm. Such patients should drink strong tea or boiled water with sugar to increase urine output, stimulate bladder, enhance urine sensation, relax dressings that oppress wounds and promote urination. Those who still can't urinate should be guided by the doctor's advice.

2. Diet structure is closely related to the cure of hemorrhoids. Too fine food will slow down intestinal peristalsis, cause constipation and lead to anorectal varicose veins; If you eat too much pepper or pepper in food, it will stimulate the anus and rectum, leading to congestion and dilatation of the blood vessels in the anus and rectum; If you eat too much or eat too much coarse grains, it is easy to cause too much stool after operation and cause wound infection; Proper diet before and after operation can not only make the operation go smoothly, but also play an important role in wound repair, pain relief, wound healing, prevention and reduction of postoperative complications.

3. Insist on taking a bath with warm water after defecation: Taking a bath with warm water after defecation can not only relieve the pain symptoms, but also clean the anus, reduce bacterial infection and promote wound healing. If you smoke and wash with the medicine prepared by the doctor, the effect will be better.

4, postoperative activities should also pay attention to: generally try not to do too much exercise within one week after surgery, it is best to stay in bed, which can reduce the friction infection of the wound and prolong the healing time of the wound. Don't do too intense activities after three months of operation, so as not to rupture the wound that is about to heal again.

5, good eating habits: patients with hemorrhoids can not eat spicy, greasy and other irritating foods, it is best not to eat even dry food, daily diet should be based on light food to help defecation, eat more fruits and vegetables, drink more water and so on.

6. Smooth defecation: It is necessary to defecate 24 hours after hemorrhoid surgery, because defecation is too early after surgery, which is easy to infect the wound, causing some complications and increasing the pain of patients. If the patient has severe constipation, you can take a warm bath before defecation to relax the anal sphincter, which can buffer the stimulation of feces on the anus and relieve the pain symptoms of the patient.

HCPT minimally invasive and painless surgical treatment system is a high-tech integration. Its biggest feature is no bleeding, little pain, avoiding sequelae and complications and preventing recurrence. The principle is that when the hemorrhoid is clamped by high-frequency therapy, the electric clamp quickly evaporates the water in the hemorrhoid tissue, and the electrical impedance of the biological tissue changes from small to large. When the electrical impedance matches the output impedance of the instrument (tissue is dry and carbonized), the instrument automatically sounds a prompt to achieve the therapeutic effect and solve the technical problem of manually setting the time. The inspection system is controlled by computer, which can diagnose the image clearly and accurately, and can freeze, store, play back, enlarge, analyze, measure and calculate the image. It can also be compared before and after treatment, and the powerful case management system has the functions of case data image query and statistics.