What is minimally invasive hemorrhoid surgery and is it covered by medical insurance

Minimally invasive surgery, such as suprahemorrhoidal mucosal anastomosis, can be done without treating the hemorrhoidal nucleus, directly treating the suprahemorrhoidal mucosa, cutting out a part, and then anastomosizing, and lifting the anal pad. Because the surgery is above the dentate line, it is basically painless after surgery. And the recovery is also fast, but the disadvantage is that it is expensive.

The earliest birthplace of PPH technology is the United States. To put it simply, this is a first-class method for hemorrhoids in the Western medicine system.

Why is the emphasis in the Western medicine system?

Western medicine and Chinese medicine are two very different systems.

Western medicine is based on anatomy. After thousands of years of development, Western medicine has formed its own anatomical system, epidemiological system, evidence-based medicine system and so on. In the impression of the landlord, Western medicine is microscopic, from the anatomical organs, to the blood vessels in the organs, from the blood vessels to the cells, from the cells to the genes.

It's scientific. Traditional Chinese medicine is based on a holistic understanding of people. In TCM, people are not only organs, but also blood vessels. Man is spirit, spirit, and god! is a living whole.

Therefore, TCM has added a new content of human functionology to world medicine.

Within these two different coordinate systems, different diseases have different perspectives.

Why is it emphasized that PPH is within the Western medicine system? Because it has a distinct Western medicine characteristic: focusing on the microcosm, ignoring the whole.

Internal hemorrhoids are also good, and external hemorrhoids are also good. It's just a big mass of blood vessels. What is it that encloses this vascular mass? Is it???

It's not drops, it's called "mucous membranes" that wrap them

PPH, what is the technique, is to pull off the mucosa in your rectum, then cut off a part, and then sew it on, or fix it.

What will be the result? The first is that the loose mucosa becomes tighter, and the prolapsed internal hemorrhoids are supported and fixed.

This is how PPH works.

Minimally invasive surgery for hemorrhoids is included in the national medical insurance and can be reimbursed, and the reimbursement ratio may be related to the local medical insurance policy. Under normal circumstances, if it is a new type of rural cooperative medical insurance, the reimbursement ratio is relatively low, about 60%-70%. If it is a serious illness of employees, the reimbursement ratio is about 80%-85%.

Before reimbursement, there will be a starting line, and the starting line is generally about 800 yuan to 1000 yuan, that is to say, the amount of the minimum payment line should be exceeded, and then the reimbursement will be made according to the proportion mentioned above. It should be noted that some minimally invasive hemorrhoidal surgeries will use disposable instruments, which are not currently included in the national medical insurance and are self-funded.

Minimally invasive surgery for hemorrhoids is an excision procedure that uses a stapler to remove the tuba from the mucous membrane. The stapler is a consumable material that needs to be paid for at your own expense. However, due to the medical reform, the price of related equipment has been adjusted, so these devices are now included in the scope of reimbursement, but the proportion of reimbursement will vary depending on the type of equipment.

Minimally invasive surgery for hemorrhoids, such as PPH or RPH, because instruments are used during the operation, and this device is not included in the scope of medical insurance, so its cost will be relatively expensive, and the cost to bear may be about 4000-5000 yuan.

Legal basis

Social Insurance Law of the People's Republic of China

Article 26 The treatment standards of basic medical insurance for employees, new rural cooperative medical care and basic medical insurance for urban residents shall be implemented in accordance with the provisions of the State.

Article 28 In line with the basic medical insurance drug list, diagnosis and treatment items, medical service facility standards and medical expenses, emergency and rescue medical expenses, in accordance with the provisions of the State from the basic medical insurance **.

Article 30 The following medical expenses are not included in the scope of payment of basic medical insurance**

1) It should be paid out of work-related injury insurance**;

2) It shall be borne by a third party;

3) It should be borne by public health;

4) Seeking medical treatment outside the country.

Medical expenses shall be borne by the third party in accordance with the law, and if the third party does not pay or the third party cannot be determined, the basic medical insurance shall pay in advance. After the basic medical insurance** is paid in advance, it has the right to recover from a third party.

There are many types of minimally invasive hemorrhoids surgery, and there are different types of diseases. Patients should also make the following preparations.

First, take a hot shower, as you can't take a shower for a week after surgery.

Second, don't be afraid because of fear, and have the self-confidence to overcome the disease, because the more you are afraid, the more you feel very painful.

Third, the dinner on the day before the operation should be full, otherwise the fasting will affect sleep, so that the next day of the operation will be listless and the resistance will be reduced; Breakfast should be eaten well on the day of surgery, and according to experience, hemorrhoids surgery on an empty stomach is prone to nausea, vomiting and collapse.

Fourth, it is best to have a bowel movement before surgery.