The incidence of hemorrhoids is very high, which troubles many patients. Traditional hemorrhoid surgery makes patients with hemorrhoids in pain and they often meet slower recovery and increase the pain due to the large trauma. However, the improvement of modern medical technology has greatly reduced the suffering of patients, especially the emerging hemorrhoid staple surgery in recent years.
The patient takes the lithology position. After the anesthesia taking effect, routine surgical disinfection is carried out, spread sterile towels, disinfect the anus and rectum, use fingers or the inner core of a special circular anal canal dilator to expand the anus and start the hemorrhoid staple surgery.
1. First, use three non-traumatic forceps to clamp the skin of the anal margin at the three largest hemorrhoids respectively (avoid clamping the hemorrhoids to avoid bleeding), and make the internal hemorrhoids slightly upside.
2. Insert the dilator and the matching inner core into the anus together, remove the inner core of the dilator, fix the dilator with 4 stitches at 1, 4, 7, and 11 o'clock direction. And then introduce the anal mirror suturing device according to the degree of prolapse and put it 3-4.5cm above the dentate line.
3. Expand the special surgical stapler for hemorrhoids to the maximum and insert its head end above the purse-string suture through the anal canal dilator, tighten the sutures one by one and tie them tightly.
4. Pull the suture out through the side hole of the surgical stapler for hemorrhoids with the matching thread holder, pull the ligation thread to the handle, and pull the sutured and ligated mucosa and submucosa tissue into the center rod of the surgical stapler to tighten the anastomosis. The surgical stapler is fired simultaneously. Due to the sharp blade and suture system in the stapler, the excision and suture of the mucosa and submucosa above the internal hemorrhoids are completed at the moment of firing. After the stapler is fired, keep it in the closed state for about 20 seconds.
5. Completely loosen the surgical stapler for hemorrhoids and gently pull it out, and carefully check whether there is bleeding at the anastomotic site. If there is bleeding, whether it is active bleeding or oozing from small arteries, it should be sealed in a figure eight shape in time to completely stop the bleeding. The anal canal dilator is filled with petroleum jelly gauze, and then the operation is over.