1. Ligation and resection:
The external hemorrhoids of the mixed hemorrhoids will be removed without suturing the wound and allow it to heal open. The internal hemorrhoids on the dental line are ligated at the base and will fall off in about a week. Internal hemorrhoids can also be partially removed and then sutured, which is called excision and suturing.
The ring-shaped mixed hemorrhoids are fixed with a cork or circumcision device, and then the hemorrhoids and part of the rectal mucosa are cut out for a week on the tooth line, and the skin and mucosa are cut up and down while cutting. The edges are sutured, and the wound surface is made into a circumferential shape after the resection is completed.
3. External stripping and internal ligation and injection
That is, the combination of internal hemorrhoid injection and external stripping and internal ligation. Internal hemorrhoid injection is performed before ligation. This can strengthen the effect of ligation and help the hemorrhoids to shrink and fall off.
4. Circular mixed hemorrhoid segmental ligation method
According to the natural condition of hemorrhoids, design the natural segmentation of hemorrhoids and preserve the position and number of anal canal skin bridges and mucosal bridges. . The anal canal skin bridge and mucosal bridge should be kept in the natural depression of the hemorrhoids as much as possible and evenly distributed. And try to keep the ligation vertices not on the same level.
Anorectal experts remind: The operation can better preserve the dental line, anal canal skin, and mucosa on the dental line, and avoid the occurrence of sequelae such as anal stenosis, anal laxity, and mucosal eversion.
5. Repair, stripping and internal ligation and suspension
This method is used for elderly patients with hemorrhoids or mixed hemorrhoids accompanied by loose and prolapsed internal hemorrhoid mucosa. The surgical method is basically the same as that of ligation and resection. The only difference is that during ligation, the position should be as high as possible, the loose rectal mucosa should be lifted up, and the varicose external hemorrhoids outside it should be lifted up together. The external hemorrhoids only need to be made with a tension-reducing incision. .