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
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