Internal hemorrhoids that prolapse need to be operated on within a few days.
In clinical practice, if internal hemorrhoids prolapse and cannot retract for three to four days, then it is necessary to proceed with surgical treatment as soon as possible. This is because prolonged prolapse of internal hemorrhoids at the anus can lead to local swelling and even thrombosis. Severe cases may experience anal distension and pain, or necrosis of the hemorrhoids, thus early surgical intervention is recommended. The surgical options for prolapsed internal hemorrhoids include internal hemorrhoid ligation, PPH (Procedure for Prolapse and Hemorrhoids), or TST (Transanal Hemorrhoidal Dearterialization) among others. Postoperative dressing changes are crucial, as improper care can easily lead to pseudohealing or infection and edema. Typically, anal washes, hemorrhoidal suppositories, or hemorrhoidal ointments can be chosen for postoperative dressing. Moreover, it is important for patients to develop good bowel habits post-surgery, maintaining smooth bowel movements and avoiding hard, dry stools to prevent irritation to the wound, which could lead to bleeding or swelling.
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