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Research and Analysis on the Progress of Surgical Treatment for Mixed Hemorrhoids

Received: 23 November 2025     Accepted: 3 December 2025     Published: 20 December 2025
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Abstract

Mixed hemorrhoids is one of the common and frequently occurring diseases in anorectal department. In the early stage, the symptoms are mild or even asymptomatic. In most cases, conservative treatment with medical drugs can be used to improve the symptoms. However, with the development of the disease, the symptoms will gradually become obvious, and the effect of conservative medical treatment will become worse. For mixed hemorrhoids in stages III and IV, surgery is often required in the end. At present, there are various surgical treatments for mixed hemorrhoids. The traditional mixed hemorrhoids external dissection and internal ligation, closed hemorrhoidectomy, and simple external hemorrhoidectomy are mainly used. With the development of technology, the experience is constantly summarized and the surgical methods are improved, such as circular hemorrhoidectomy, selective hemorrhoidectomy, ligation, etc. The surgical treatment of mixed hemorrhoids has gradually changed from the traditional simple removal of hemorrhoid tissue to a new mode based on correcting the hypertrophy of pathological tissue and preserving the complete anal pad tissue. This article will explore the application status, advantages and disadvantages of traditional surgery and minimally invasive surgery in the treatment of mixed hemorrhoids, and analyze the applicability of different surgical methods for patients with different disease severity. By searching and reviewing the relevant literatures at home and abroad in recent years, this paper systematically reviews the latest progress of surgical treatment of mixed hemorrhoids, so as to provide scientific basis and reference value for clinical treatment.

Published in Journal of Surgery (Volume 13, Issue 6)
DOI 10.11648/j.js.20251306.13
Page(s) 169-174
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2025. Published by Science Publishing Group

Keywords

Mixed Hemorrhoids, External Stripping and Internal Ligation, Circumcision of Hemorrhoids, Selective Hemorrhoids Mucosa Anastomosis, Minimally Invasive Surgery, Postoperative Complications

References
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  • APA Style

    Shi, B., Zhi, Y., Zhou, Q., Niu, W., Zhang, Y., et al. (2025). Research and Analysis on the Progress of Surgical Treatment for Mixed Hemorrhoids. Journal of Surgery, 13(6), 169-174. https://doi.org/10.11648/j.js.20251306.13

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    ACS Style

    Shi, B.; Zhi, Y.; Zhou, Q.; Niu, W.; Zhang, Y., et al. Research and Analysis on the Progress of Surgical Treatment for Mixed Hemorrhoids. J. Surg. 2025, 13(6), 169-174. doi: 10.11648/j.js.20251306.13

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    AMA Style

    Shi B, Zhi Y, Zhou Q, Niu W, Zhang Y, et al. Research and Analysis on the Progress of Surgical Treatment for Mixed Hemorrhoids. J Surg. 2025;13(6):169-174. doi: 10.11648/j.js.20251306.13

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  • @article{10.11648/j.js.20251306.13,
      author = {Bingqiang Shi and Yongfa Zhi and Qing Zhou and Wenyu Niu and Yi Zhang and Mingjie Ma and Chunfang Zhao and Xiaode Ren and Le Yue},
      title = {Research and Analysis on the Progress of Surgical Treatment for Mixed Hemorrhoids},
      journal = {Journal of Surgery},
      volume = {13},
      number = {6},
      pages = {169-174},
      doi = {10.11648/j.js.20251306.13},
      url = {https://doi.org/10.11648/j.js.20251306.13},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.js.20251306.13},
      abstract = {Mixed hemorrhoids is one of the common and frequently occurring diseases in anorectal department. In the early stage, the symptoms are mild or even asymptomatic. In most cases, conservative treatment with medical drugs can be used to improve the symptoms. However, with the development of the disease, the symptoms will gradually become obvious, and the effect of conservative medical treatment will become worse. For mixed hemorrhoids in stages III and IV, surgery is often required in the end. At present, there are various surgical treatments for mixed hemorrhoids. The traditional mixed hemorrhoids external dissection and internal ligation, closed hemorrhoidectomy, and simple external hemorrhoidectomy are mainly used. With the development of technology, the experience is constantly summarized and the surgical methods are improved, such as circular hemorrhoidectomy, selective hemorrhoidectomy, ligation, etc. The surgical treatment of mixed hemorrhoids has gradually changed from the traditional simple removal of hemorrhoid tissue to a new mode based on correcting the hypertrophy of pathological tissue and preserving the complete anal pad tissue. This article will explore the application status, advantages and disadvantages of traditional surgery and minimally invasive surgery in the treatment of mixed hemorrhoids, and analyze the applicability of different surgical methods for patients with different disease severity. By searching and reviewing the relevant literatures at home and abroad in recent years, this paper systematically reviews the latest progress of surgical treatment of mixed hemorrhoids, so as to provide scientific basis and reference value for clinical treatment.},
     year = {2025}
    }
    

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  • TY  - JOUR
    T1  - Research and Analysis on the Progress of Surgical Treatment for Mixed Hemorrhoids
    AU  - Bingqiang Shi
    AU  - Yongfa Zhi
    AU  - Qing Zhou
    AU  - Wenyu Niu
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    AU  - Xiaode Ren
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    JF  - Journal of Surgery
    JO  - Journal of Surgery
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    EP  - 174
    PB  - Science Publishing Group
    SN  - 2330-0930
    UR  - https://doi.org/10.11648/j.js.20251306.13
    AB  - Mixed hemorrhoids is one of the common and frequently occurring diseases in anorectal department. In the early stage, the symptoms are mild or even asymptomatic. In most cases, conservative treatment with medical drugs can be used to improve the symptoms. However, with the development of the disease, the symptoms will gradually become obvious, and the effect of conservative medical treatment will become worse. For mixed hemorrhoids in stages III and IV, surgery is often required in the end. At present, there are various surgical treatments for mixed hemorrhoids. The traditional mixed hemorrhoids external dissection and internal ligation, closed hemorrhoidectomy, and simple external hemorrhoidectomy are mainly used. With the development of technology, the experience is constantly summarized and the surgical methods are improved, such as circular hemorrhoidectomy, selective hemorrhoidectomy, ligation, etc. The surgical treatment of mixed hemorrhoids has gradually changed from the traditional simple removal of hemorrhoid tissue to a new mode based on correcting the hypertrophy of pathological tissue and preserving the complete anal pad tissue. This article will explore the application status, advantages and disadvantages of traditional surgery and minimally invasive surgery in the treatment of mixed hemorrhoids, and analyze the applicability of different surgical methods for patients with different disease severity. By searching and reviewing the relevant literatures at home and abroad in recent years, this paper systematically reviews the latest progress of surgical treatment of mixed hemorrhoids, so as to provide scientific basis and reference value for clinical treatment.
    VL  - 13
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    ER  - 

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