Therefore, special attention should be paid to PPH surgery. Intraoperative massive bleeding refers to heavy bleeding that occurs during surgery. It often occurs after the stapler is fired. The reason is incomplete stapling due to missing staples at the anastomosis, or mucosal tearing due to too shallow needle insertion during suturing. Due to the rich blood vessels in the lower rectum When the above situation occurs, one or more blood vessels may often spurt out blood. If the amount of bleeding is large, it may lead to hemorrhagic anemia or even hemorrhagic shock. Major bleeding after PPH surgery mostly occurs within 12 hours after surgery, due to the patient’s hemorrhoids. The anastomosis is too large, and the stapled anastomosis is recessed in it and cannot be seen directly, resulting in a small amount of bleeding from the anastomosis or bleeding from small blood vessels after surgery that cannot be dealt with. Since the anal sphincter has the function of naturally closing the anus, bleeding is almost always The bleeding flows toward the upper end of the rectum, and the bleeding accumulates in small amounts. When it reaches a certain amount, it will leak downward through the oil gauze drainage strip and out of the anus, causing signs of bowel movements, abdominal distension, and blood loss. Therefore, close observation should be made within 12 hours after the operation. If the condition is serious, measure blood pressure and pulse at least every two hours, and pay attention to check for bleeding in the anal dressing, so that timely detection and treatment can be done. In addition, patients should be specially informed about the symptom of pain. According to the principle of PPH surgery, there should be no pain after PPH surgery. This is also what many hemorrhoid patients are most concerned about and yearn for, because most hemorrhoids Patients have experienced or heard about the pain of traditional hemorrhoid surgery, so they have high expectations for this. However, in fact, about 30% of patients will experience varying degrees of pain, which may be caused by surgical anal expansion and surgical trauma. Caused by sphincter spasm, if the external hemorrhoids are still large in some patients after PPH, they should be trimmed. At this time, the pain will be more obvious (some even severe). For this possible situation, especially before surgery Explain clearly to the patient to relieve the patient's doubts, uneasiness and dissatisfaction. Changsha Dongda Anorectal Hospital has a strong team of experts and advanced medical equipment. It is also a designated hospital for medical insurance in Changsha. The hospital is the first hospital in Changsha to introduce a male and female separation system to avoid patient embarrassment during treatment. If you have hemorrhoids, anal fissure, diarrhea, constipation, anal fistula and other anorectal diseases, please seek medical treatment in time and get treatment as soon as possible.