T/SZKJKH 017-2023 Standard Operating Procedures for Layered Surgery of Mixed Hemorrhoids

Scope

Scope: This standard specifies the purpose, indications, and contraindications of mixed hemorrhoid surgery, preoperative assessment, requirements for operating rooms and preoperative preparations, qualification requirements for surgeons and hospitals, surgical operation procedures, precautions during surgery, and key indicators for postoperative management. This standard applies to surgical operations for mixed hemorrhoids in different-level medical institutions. Main technical content: One of the important functions of the anus is to excrete feces. The normal physiological state of hemorrhoids is called the anal cushion, which, together with the anal sphincter, ensures the closure of the exit and prevents gas and fecal leakage. The purpose of surgery is to remove the diseased hemorrhoidal tissue and preserve the normal anal cushion and tissues. Stratified surgery for mixed hemorrhoids is an extension of the modified surgical method based on external stripping and internal ligation of mixed hemorrhoids, which fully protects the functional state and tissues of the anus and integrates the core points of sclerosing agent injection, ligation of the superior hemorrhoidal artery, TST, and CRH into a unified and standardized surgical operation process, providing a reference for clinicians. Therefore, we have compiled this standard, which aims to standardize the processes and details of all aspects of hemorrhoid surgery, achieve the minimum standard of pathological resection with function first, minimize complications, and achieve good treatment objectives.

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