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Outpatient treatment of hemorrhoids with a combined technique: results in 7850 cases

G Accarpio1, F Ballari, R Puglisi

  • 1Department of Colorectal Surgery, Villa Scassi Hospital, Sampierdarena (GE), Italy.

Techniques in Coloproctology
|January 15, 2003
PubMed

Insights

This study shows that combining sclerotherapy, rubber band ligation, and infrared coagulation for hemorrhoid treatment is highly effective. This non-surgical approach in an outpatient setting achieved a 90.5% satisfactory outcome for 7850 patients.

Area of Science:

  • Gastroenterology
  • Colorectal Surgery

Background:

  • Hemorrhoids are a common condition affecting a significant portion of the population.
  • Traditional surgical hemorrhoidectomy can involve considerable recovery time and costs.

Purpose of the Study:

  • To evaluate the efficacy and safety of a combined non-surgical treatment approach for hemorrhoids.
  • To assess patient outcomes and complication rates in an outpatient setting.

Main Methods:

  • A retrospective analysis of 7850 patients treated over 9 years.
  • Combination therapy included sclerotherapy, rubber band ligation, and infrared coagulation.
  • Data collected on symptoms, treatment success, and complications.

Main Results:

  • 90.5% (7100 patients) reported satisfactory outcomes with the non-surgical approach.
  • Only 9.5% (750 patients) required subsequent formal hemorrhoidectomy.
  • Complication rates were generally low, with mild/moderate pain in 22.6% and severe pain in 2.2%.

Conclusions:

  • Combined non-surgical outpatient treatments for hemorrhoids are highly effective and well-tolerated.
  • This approach significantly improves patient perception of their condition.
  • Non-surgical treatment offers substantial cost savings for the healthcare system.

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