# Endoscopic excision for internal and mixed hemorrhoids: a retrospective case series of short-term outcomes

## TL;DR

This study shows that endoscopic excision is a safe and effective treatment for internal and mixed hemorrhoids with high patient satisfaction.

## Contribution

The study provides new evidence on the safety and effectiveness of endoscopic excision for treating advanced hemorrhoids.

## Key findings

- Endoscopic excision achieved 100% effectiveness and satisfaction rates in patients with internal and mixed hemorrhoids.
- No severe complications occurred, with only mild and transient side effects observed.
- Pathological confirmation of hemorrhoidal tissue was successfully obtained through the procedure.

## Abstract

This study aimed to investigate the short-term clinical outcomes and safety of endoscopic excision for the management of internal and mixed hemorrhoids.

A retrospective analysis was conducted on 20 patients with Grade II to Grade IV internal or mixed hemorrhoids who underwent endoscopic excision at Zhoushan Hospital between January 2024 and December 2024. All patients had complete follow-up data.

At 3 and 6 months after surgery, the treatment effectiveness rate was 100%, and both postoperative satisfaction and acceptance rates were 100%. No severe postoperative complications occurred, and no bleeding or infection was observed. Mild pain developed in three patients, a transient sensation of anal heaviness and distension occurred in one patient, and temporary urinary retention occurred in one patient, which resolved after local hot compress therapy. Postoperative pathological examinations confirmed that the resected anorectal masses demonstrated changes consistent with hemorrhoidal tissue.

Endoscopic excision for internal and mixed hemorrhoids is a safe and effective therapeutic approach. It provides significant symptom relief, yields high postoperative satisfaction and acceptance among patients, and allows for definitive pathological confirmation of the nature of the resected anorectal tissue.