Is minimally invasive surgery or traditional surgery better for internal hemorrhoids prolapse?

Written by Yu Xu Chao
Colorectal Surgery
Updated on December 11, 2024
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If the patient has only internal hemorrhoids prolapse without external hemorrhoids, it is better to opt for minimally invasive surgery, as it causes less damage and allows for faster postoperative recovery. Clinically, the TST surgical method is often recommended to avoid postoperative anal stenosis. However, if the internal hemorrhoids prolapse is accompanied by severe external hemorrhoids, it is advisable to opt for the traditional external peeling and internal ligation surgery, as this method can also effectively address external hemorrhoids, avoiding the need for a second surgery. Postoperatively, the use of anal cleansers, potassium permanganate solution, golden ointment, red oil ointment gauze, and hemorrhoid suppositories for dressing changes can promote recovery. Additionally, postoperative patients should avoid certain foods and maintain smooth bowel movements to prevent infections, swelling, and bleeding, which will aid in recovery.

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Written by Yu Xu Chao
Colorectal Surgery
1min 23sec home-news-image

Can internal hemorrhoids be treated with wet compresses?

After prolapse of internal hemorrhoids, moist compresses can be applied, but the therapeutic effect of moist compresses is not significant. The prolapse of internal hemorrhoids mainly occurs when the anal cushion pathologically enlarges and shifts downward, leading to the prolapse. If the prolapsed hemorrhoids cannot be retracted back into the anus, this can lead to incarcerated edema, causing swelling and pain around the anus. If the incarceration lasts too long, it can induce local thrombosis or even necrosis. In such cases, it is recommended to opt for surgical treatment as soon as possible. Common surgical methods include internal hemorrhoid ligation, internal hemorrhoid excision, PPH (Procedure for Prolapse and Hemorrhoids), or TST (Transanal Hemorrhoidal Dearterialization). After surgery, it is advisable to use anal washes or potassium permanganate solutions for sitz baths, and then apply topical treatments such as hemorrhoid creams, red oil gauze strips, and yellow ointments to promote postoperative recovery. Moreover, patients should develop good bowel habits after surgery to maintain smooth bowel movements, which further aids recovery. (Under the guidance of a doctor for medication use)

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Written by Chen Tian Jing
Colorectal Surgery
1min 1sec home-news-image

What should I do if internal hemorrhoids have been bleeding for several days?

If internal hemorrhoids have been bleeding continuously for several days, and the bleeding is substantial, it is advisable to promptly undertake active hemostasis treatment. Common treatments for bleeding internal hemorrhoids mainly include taking oral hemostatic medication, or using suppositories and ointments for hemorrhoids to actively stop the bleeding. However, conservative treatment can only provide temporary relief of symptoms. If after treatment, the patient does not pay attention to a light diet or good bowel habits, there may also be a recurrence of hemorrhoid bleeding. If the bleeding is already severe, and there is a possibility of serious anemia, it is advised to perform a local internal hemorrhoid ligation surgery as soon as possible to prevent anemia or exacerbate the severity of the disease. (Medication should be used under the guidance of a doctor.)

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Written by Yu Xu Chao
Colorectal Surgery
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Mild bleeding due to internal hemorrhoids prolapse.

Internal hemorrhoids have prolapsed with slight bleeding. This is primarily considered to be due to pathological hypertrophy and descent of the anal cushions, causing the internal hemorrhoids to prolapse and the mucosa of the hemorrhoids to erode, leading to symptoms of rectal bleeding. For such cases, if the prolapsed internal hemorrhoids cannot spontaneously reduce, it is necessary to promptly adopt surgical methods such as hemorrhoidal banding, PPH (Procedure for Prolapse and Hemorrhoids), or TST (Transanal Hemorrhoidal Dearterialization). If the prolapsed hemorrhoids can spontaneously reduce, conservative treatment with medication may be temporarily used, such as applying compound preparations like mixed hemorrhoid suppositories or Jiuhua suppositories anally. Moreover, attention should be paid to a light diet, avoiding foods such as fishy seafood. It is also important to maintain smooth bowel movements; thus, eating less cold, hard food and avoiding difficult defecation that can lead to prolonged toileting times.

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Written by Wu Hai Wu
Gastroenterology
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Does bleeding after defecation followed by a feeling of discomfort in the anus indicate internal hemorrhoids?

Bleeding after bowel movements followed by discomfort in the anus may be due to internal hemorrhoids, but could also indicate ulcerative proctitis, rectal cancer, or infections around the anus. To confirm the diagnosis, it is necessary to conduct a thorough examination with a digital colonoscopy. Based on the results of the colonoscopy, appropriate treatment measures can be taken. If the symptoms are caused by internal hemorrhoids, surgical treatment may be considered. For diseases like ulcerative colitis, treatment with salicylate preparations may also be used.

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Written by Deng Heng
Colorectal Surgery
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Will internal hemorrhoids affect menstruation?

Internal hemorrhoid bleeding can potentially affect menstruation. Although brief internal hemorrhoid bleeding does not affect menstruation, if the hemorrhoid bleeding is heavy, prolonged, frequent, and occurs daily or frequently, exceeding the body's ability to replace the lost blood, it can cause severe systemic anemia. In such cases, it might affect menstruation.