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.
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Bingqiang Shi
Yongfa Zhi
Qing Zhou
Journal of Surgery
Qinghai No.3 People's Hospital
Qinghai Red Cross Hospital
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Shi et al. (Sat,) studied this question.
www.synapsesocial.com/papers/69ba426d4e9516ffd37a2ad5 — DOI: https://doi.org/10.11648/j.js.20251306.13