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hemorrhoid

It is a common condition located in the area and can occur at any age, but the incidence increases with age. In China, hemorrhoids are the most common anorectal diseases, known as "ten men and nine hemorrhoids", "ten women and ten hemorrhoids". In the United States, the incidence of hemorrhoids is about 5%. The main causes are: first of all, varicose vein theory, which believes that hemorrhoids are venous masses formed by congestion, expansion and flexion of venous plexuses under the mucosa of the lower rectum and under the skin of the canal. However, the widely accepted theory is Thomson's theory of pad downward migration, which holds that hemorrhoids are originally normal anatomical structures in the canal, that is, vascular pads, which are annular sponge-like tissue bands 1.5 cm above the dentate line.

01
Classification of diseases
The three main symptoms of hemorrhoids: blood in the stool, pain and protrusion According to the different parts, it is divided into three categories:
internal hemorrhoids, external hemorrhoids, and mixed hemorrhoids
internal hemorrhoid
Stage I: generally no obvious symptoms, only see blood or drip or shoot blood in the stool during defecation Stage II: Hemorrhoids come out during stool, can be collected by themselves, and blood in the stool is more or less. Stage III: Hemorrhoids come out during stool, and hand support is required after stool, and there is not much blood and no bleeding in the stool. Stage IV: The hemorrhoidal nucleus usually comes out of the anus, and cannot be returned with hand support.
External hemorrhoid
External hemorrhoids are located below the tooth line and are masses formed by inflammation, hypertrophy, connective tissue hyperplasia, or thrombostasis of the skin of the extrahemorrhoidal plexus or margin folds. The surface of the external hemorrhoids is covered with skin, which can be seen, can not be sent into the anus, is not easy to bleed, and is mainly symptomatic with pain and foreign body sensation.
Mixed hemorrhoid
External hemorrhoids are located below the tooth line and are masses formed by inflammation, hypertrophy, connective tissue hyperplasia, or thrombostasis of the skin of the extrahemorrhoidal plexus or margin folds. The surface of the external hemorrhoids is covered with skin, which can be seen, can not be sent into the anus, is not easy to bleed, and is mainly symptomatic with pain and foreign body sensation.
02
Danger of diseases
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    Thrombosis: Hemorrhoids can develop blood clots within them, leading to a condition called thrombosed hemorrhoids. This can cause severe pain and swelling and may require medical intervention.
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    Bleeding: Hemorrhoids can bleed, especially during bowel movements. While bleeding is usually not severe, excessive or prolonged bleeding can lead to anemia and may require medical attention.
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    Prolapse: In some cases, internal hemorrhoids may protrude outside the anus, causing them to become prolapsed. Prolapsed hemorrhoids can be painful and may require medical treatment to be pushed back into place.
03
Technology and equipment
PPH surgery
PPH surgery, or anastaper hemorrhoidal circumcision, is suitable for all kinds of hemorrhoids, especially patients with severe internal hemorrhoids and partial rectal mucosal prolapse. The principle is: retain the pad, and resect part of the internal hemorrhoids and the mucosa and submucosal tissue of the hemorrhoids while resecting and anastomosing, and perform instant anastomosis. It not only blocks the blood supply of hemorrhoids, but also suspends and fixes the slipped tissue, restoring the anorectum in the pathological state to a normal anatomical state It is suitable for mixed hemorrhoids with stage 2, 3 or annular prolapse and one internal hemorrhoid
High-frequency electrosurgical treatment
The high-frequency electrosurgical treatment system integrates high technology, and its biggest feature is that the operation does not bleed, the pain is small, the sequelae and complications are avoided, and the recurrence is prevented. Its principle is: when high-frequency treatment clamps hemorrhoids, the electric forceps quickly evaporates the hemorrhoidal tissue water, the biological tissue electrical impedance changes from small to large, and when the electrical impedance and the output impedance of the instrument match (tissue dry junction carbonization).The instrument automatically beeps prompts, that is, to achieve the therapeutic effect
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hospital introduction and experts
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