Hemorrhoidal Ablation and Fixation: An Alternative Procedure for Prolapsing Hemorrhoids
Journal Title: Journal of Medical Science And clinical Research - Year 2017, Vol 5, Issue 9
Abstract
Background: Many new techniques have been evolved to curb the problem of postoperative pain after hemorrhoidectomy. Stapler hemorrhoidopexy and doppler guided hemorrhoidal artery ligation are the two methods gaining popularity amongst proctologists. The author proposes another technique called radiofrequency ablation and fixation of hemorrhoids to add to this list. Patients and Methods: The surgical technique and clinical follow-up of 410 patients operated by this technique are presented. A Ellman radiofrequency generator was used for hemorrhoidal ablation. Post defecation pain and pain at rest were assessed using a visual analogue scale. Patient satisfaction score was calculated at the mean follow up of 60 months (range 48 to 72 months). The results in terms of mean hospital stay, postoperative pain, postoperative complications, period of incapacity for work were compared with the published data of results of stapled hemorrhoidectomy and Doppler guided hemorrhoidal artery ligation. Results: Pain score at first evacuation was 6. The post defecation pain score in the first week was 4 (range 3- 6) and it was 3 (range 2-5) in the second week. The mean pain score at rest in the first week was 2 (range 1-4) and 1 (range 0-2) in the second postoperative week. 94.5 % patients expressed their satisfaction with the procedure. Conclusion: Early results of this technique of radiofrequency ablation and fixation of hemorrhoids hold positive promises in terms of less postoperative pain, early discharge from the hospital and faster return to work. The results are comparable to stapled hemorrhoidectomy and are better than Doppler guided hemorrhoidal artery ligation in terms of effectiveness and symptomatic relief on long-term basis.
Authors and Affiliations
Dr Smita Uday Vaidya
Keywords
Related Articles
- EP ID EP528319
- DOI -
- Views 103
- Downloads 0
A Prospective Study on Sepsis after Emergency Abdominal Surgery
Aim: To study the abdominal sepsis in post-operative period after emergency abdominal surgery Materials and Methods: This is a prospective study on sepsis after emergency abdominal surgery which was conducted during the...
A Prospective Study of Clinical Profile & Risk Factor Assessment of Carpal Tunnel Syndrome
Background: Carpal Tunnel syndrome (CTS) is the most common entrapment neuropathy in the general population. This study was conducted to find the common clinical presenting feature in electro physiologically diagnosed CT...
A Comparative Analysis between Anxiety Patients Receiving Medication Alone & Medication with Progressive Muscular Relaxation Therapy
Anxiety disorders are relatively common and patients who have been under prolonged medication for anxiety disorders worry about their dependent on the medication in coping with their problems. Due to numerous unpredictab...
Bacteriological Profile and Antimicrobial Susceptibility of Blood Culture Isolates from Tertiary Care Hospital, Navi Mumbai
Introduction: Blood stream infections (BSI) constitute a significant public health problem with increasing morbidity and mortality in hospitalized patients. Illnesses associated with blood-stream infections range from se...
Maternal Mortality in a Tertiary Care Hospital of Central India: A 5 years Review
The key to the progress of a country lies in reducing it’s maternal morbidity and mortality. The maternal mortality rate has gone down since 1980 however it has still not achieved the target level hence to give a better...