A study of radiofrequency ablation versus milligan morgan haemorrhoidectomy for the treatment of grade III hemorrhoids
Journal Title: Medpulse International Journal of Surgery - Year 2017, Vol 3, Issue 1
Abstract
Background: Development in the treatment of haemorrhoidal disease over the last 20 years has moved towards less invasive and non-ablative surgery. Several new techniques have been developed, but the use of these techniques in clinical practice and the general manageme effectiveness of Radiofrequency Ablation versus Milligan Morgan Haemorrhoidectomy for the Treatment of Grade III Hemorrhoids. Methodology: patients Diagnosed as of Grade III hemorrhoids during January 2014 to January 2015 was carried out at the tertiary care hospital, written consent of the patients were taken. All eligible Grade III hemorrhoi Milligon –Morgan Haemorrhoidectomy ( Radiofrequency blation and Plication of haemorrhoids ( allocated to the Group A (20 patients) and Group B (20 patients) by computer generated random numbers. The statistical analysis done by Un-paired t age is comparable (P>0.05;t = 1.114;df=38.); Operative time was significantly lower in Group A compared to Group B(P< 0.0001 ;t = 10.00; df=38.) ; Intra 0.0001 ; t = 41.1437 df=38); Time to B (P<0.0001; t = 14.10;df=38); Average hospital stay (Days) was significantly lower in Group A compared to Group B (P<0.0001; t = 4.00 ;df=38); Average Analgesic required (No. o Group B <0.0001;t=15.81 ;df=38). Time required for Wound healing (Days) was significantly lower in Group A compared to Group B (P<0.0001; Morgan Haemorrhoidectomy) as compared to Group A (10%) (Radiofrequency Ablation). The complications like Urinary retention, Bleeding, Incontinence of flatus, External tags, Recurrence, Anal stenosis, were common in Group B than Group A. Conclusion: Overall the operative outcomes like less intraoperative bleeding, less time for the first bowel movement with less analgesic were better in Radiofrequency Ablation and overall complications were less in
Authors and Affiliations
Jayesh Shaligram Khadse, Sachin Shashikant Ingale
Keywords
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