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Ligation of hemorrhoids or cutting of external hemorrhoids is the question of many patients with hemorrhoids today. There are two methods used to treat hemorrhoids, but hemorrhoid ligation and external hemorrhoidectomy are indicated separately for each disease condition. Read on to find out how to cure hemorrhoids permanently through the article below.
1. What is hemorrhoid ligation?
Ligation of hemorrhoids is one of the methods of treating hemorrhoids from the past to present. With this method, the surgeon will fix the patient's hemorrhoid with surgical instruments, then proceed to tighten the bottom of the hemorrhoid with a rubber ring. With this method, about a week or so later the hemorrhoid will shrink and fall off on its own.
Advantages of hemorrhoid ligation: Less impact on quality of life, patients can be treated as outpatients and do not need to be hospitalized. Cons: Only applicable to small hemorrhoids, the process of ligation hemorrhoids and going home the patient may feel pain, intense pain. Even if it has to be lied many times, the new hemorrhoid will run out of nourishing blood vessels to fall off on its own.
2. What is external hemorrhoidectomy?
Unlike ligation of internal hemorrhoids, excision of external hemorrhoids is a surgical method to completely remove hemorrhoids for patients. Bring almost absolute effectiveness of treatment, with little risk of recurrence later. Currently, the methods of removing external hemorrhoids are also advanced and diverse, patients can choose depending on their disease condition.
Method of cutting external hemorrhoids with PPH: Using a machine to clamp into the lining of the rectum and cut out the hemorrhoids Longo method: Using a cutter and suture to pull the hemorrhoid back to its normal state. Then suture the veins feeding the hemorrhoid so that the hemorrhoid automatically shrinks and falls off Milligan Morgan method: The hemorrhoid will be removed, then the surgeon will stitch the skin mucosa to reduce the damage. on the surface of the anal canal. HCPT high-frequency wave method: Using high-frequency waves with a temperature of 70 - 80 degrees Celsius to stop the blood vessels to the hemorrhoids. After holding it, proceed to cut the hemorrhoid. Compared with hemorrhoid ligation, external hemorrhoidectomy is clearly more effective with less recurrence rate and less pain for patients than hemorrhoid ligation.
Advantages: Thorough treatment of hemorrhoids, less recurrence, less pain than traditional hemorrhoid ligation Cons: High cost, requires at least 2 weeks recovery time. It is necessary to have appropriate care regime, avoid heavy exercise.
3. Hemorrhoid sclerotherapy
Hemorrhoid sclerotherapy is also a method of treating hemorrhoids. The doctor will inject 70-degree alcohol, a fibrous substance, into the hemorrhoid. Then the patient's hemorrhoids will gradually shrink. This method is less painful, limiting complications, but it is not as modern and thorough as cutting external hemorrhoids.
4. Should hemorrhoid ligation or external hemorrhoid cut?
According to the experience from doctors, ligation of hemorrhoids and cutting of external hemorrhoids are both methods of treating hemorrhoids that are applied today. However, in each case, there will be different indications from specialized doctors
Hemorrhoids grade 1: At this time, the hemorrhoid is completely located in the anal canal, not causing much discomfort to the patient or at a tolerable level. . 2nd degree hemorrhoids: In the normal state, hemorrhoids lie neatly in the anal canal. When the patient pushes to defecate, the hemorrhoids protrude or partially protrude. When the stool is finished, the hemorrhoids automatically go back inside the anus. Hemorrhoids degree 3: Hemorrhoids will automatically swoop out when the patient walks a lot, squats or does heavy work. However, the patient can push the hemorrhoid inside the anus with his hands if it is not too large in size Hemorrhoids Grade 4: The hemorrhoid is almost outside the anus, the patient cannot push the hemorrhoid into the anal canal by hand. Equivalent to grade 1 hemorrhoids and grade 2 hemorrhoids, the indicated method is ligation of hemorrhoids.
Equivalent to grade 3 hemorrhoids and grade 4 hemorrhoids, the indicated method is external hemorrhoidectomy.
Ligation of hemorrhoids and excision of external hemorrhoids are methods used in the treatment of hemorrhoids. Equivalent to each disease condition, will be assigned different treatment methods. Therefore, patients need to be monitored and examined periodically if they are suffering from hemorrhoids, to be consulted by doctors for reasonable methods.
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