Radiofrequency and diathermy haemorrhoidectomy: early and late complications Aim: Milligan-Morgan haemorrhoidectomy is the most effective technique for the surgical treatment of haemorrhoids, but is followed by severe pain, bleeding, soiling, stenosis and slow return to daily activities. In order to prevent these consequences new devices that use radiofrequency are used. We compared radiofrequency (RH) and diatermy hemorrhoidectomy (DH) both for early and late complications. Methods: Between 2012 and 2016, 82 patients were divided into two groups: 42 in RH and 40 in DH. We analyzed: operative time, number of piles removed, postoperative pain, bleeding, stenosis, soiling/minor incontinence, time off-work, wound healing time and general satisfaction. Results: Pain score were lower in the RH than DH, (mean VAS after 1 week 3,53 vs 4,22), such as operative time (RH 25 min vs DH 33 min). We removed on average 2,8 piles in RH vs 1,78 in DH. Temporary soiling/minor incontinence rates were similar, while time off-work, wound healing time and overall satisfaction showed a superiority of radiofrequency. Conclusion: Radiofrequency haemorrhoidectomy is more effective than diatermy, both for early and late complications, with faster recovery and better overall satisfaction. Further randomized controlled trials are required to confirm these preliminary results.
Radiofrequency and diathermy haemorrhoidectomy: early and late complications / Mascagni, Domenico; Toscana, Edoardo; Fralleone, Lisa; DI NARDO, Domenico; Favella, Leonardo; Raniolo, Marilena; Mascagni, Pietro; Pironi, Daniele; Eberspacher, Chiara. - In: COLORECTAL DISEASE. - ISSN 1462-8910. - STAMPA. - 19:(2017), pp. 133-133. (Intervento presentato al convegno ESCP's 12th Scientific and Annual Meeting tenutosi a Berlin) [10.1111/codi.13798].
Radiofrequency and diathermy haemorrhoidectomy: early and late complications
MASCAGNI, Domenico;TOSCANA, EDOARDO;FRALLEONE, LISA;DI NARDO, DOMENICO;FAVELLA, LEONARDO;RANIOLO, MARILENA;PIRONI, Daniele;EBERSPACHER, CHIARA
2017
Abstract
Radiofrequency and diathermy haemorrhoidectomy: early and late complications Aim: Milligan-Morgan haemorrhoidectomy is the most effective technique for the surgical treatment of haemorrhoids, but is followed by severe pain, bleeding, soiling, stenosis and slow return to daily activities. In order to prevent these consequences new devices that use radiofrequency are used. We compared radiofrequency (RH) and diatermy hemorrhoidectomy (DH) both for early and late complications. Methods: Between 2012 and 2016, 82 patients were divided into two groups: 42 in RH and 40 in DH. We analyzed: operative time, number of piles removed, postoperative pain, bleeding, stenosis, soiling/minor incontinence, time off-work, wound healing time and general satisfaction. Results: Pain score were lower in the RH than DH, (mean VAS after 1 week 3,53 vs 4,22), such as operative time (RH 25 min vs DH 33 min). We removed on average 2,8 piles in RH vs 1,78 in DH. Temporary soiling/minor incontinence rates were similar, while time off-work, wound healing time and overall satisfaction showed a superiority of radiofrequency. Conclusion: Radiofrequency haemorrhoidectomy is more effective than diatermy, both for early and late complications, with faster recovery and better overall satisfaction. Further randomized controlled trials are required to confirm these preliminary results.I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.
