RADIOWAVE HEMORRHOIDAL COAGULATION AND MUCOPEXY IN ADVANCED GRADES OF HEMORRHOIDS- LONG –TERM OUTCOME

AUTORES: PRAVIN J GUPTA GUPTA NURSING HOME

Antecedentes: The author describes his experience of treatment of advanced hemorrhoidal disease (Grade III and IV) using a technique called radiowave ablation and plication of hemorrhoids which is performed as a day case procedure.

Objetivo: To find out the efficacy of this procedure.

Lugar de aplicación: Patients from the hospital.

Diseño: Patients were operated either under local or general anesthesia.

Población: Over 1260patients were operated with this technique.

Método: The surgical technique and clinical follow-up of patients operated by this technique is presented. A Ellman radiowave generator was used for ablation. Patients were initially called at 7,14 and 30th postoperative days and then at least 2 years after the procedure. Results in terms of mean hospital stay, postoperative pain, postoperative complications, period of incapacity for work and effectiveness of the procedure is described.

Resultados: 1260 patients operated with this technique were assessed. The average duration of operation was 7 minutes [range 5-9 minutes]. Mean hospital stay was 11hrs [range 6-23 hrs]. The postoperative complication rate was 3.5%, which included secondary bleeding, retention of urine and perianal thrombosis. The mean period of incapacity for work was 8 days [range 6-14 days]. The mean analgesic requirement was 20 tablets of Tramadol [range 14-33]. At the last follow-up, 2% patients had recurrence of bleeding and 6% developed anal skin tags.

Conclusiones: Radiowave ablation and plication of hemorrhoids is a technique that results in significantly less postoperative pain, shorter hospital stay, and early return to normal activity.