Radiofrequency coagulation: a new option for early grade bleeding hemorrhoids

Area of Science:

• Minimally Invasive Procedures
• Gastroenterology
• Surgical Technology

Context:

• Hemorrhoid treatment has evolved with new techniques.
• Radiofrequency (RF) coagulation is a novel approach for Grade I and II hemorrhoids.
• This method utilizes high-frequency radio waves to coagulate hemorrhoidal tissue.

Purpose:

• To describe the author's experience with RF coagulation for bleeding hemorrhoids.
• To evaluate the efficacy and safety of RF coagulation in a clinical setting.
• To assess relief of bleeding, complication rates, and recurrence over a 16-month follow-up.

Summary:

• RF coagulation was performed using an Ellman radiofrequency generator on patients with bleeding hemorrhoids.
• A 16-month follow-up assessed bleeding episodes, complications, and recurrence.
• 13% experienced persistent/recurrent bleeding, 2% required readmission for hemorrhage; no infective complications were reported. Patient comfort and satisfaction were satisfactory.

Impact:

• RF coagulation is a technically simple, effective, and safe treatment for bleeding hemorrhoids.
• The portable and low-maintenance equipment facilitates clinical application.
• Long-term follow-up data is crucial to confirm the long-term reliability of this hemorrhoid treatment method.