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Radiowave ablation and mucopexy for prolapsing hemorrhoids--a pilot study
1Fine Morning Hospital and Research Center, Gupta Nursing Home, Laxminagar, Nagpur 440022, India. drpjg@yahoo.co.in
International Journal of Surgery (London, England)
|April 14, 2009
Summary
Radiowave ablation and mucopexy effectively treat symptomatic prolapsing hemorrhoids. This minimally invasive technique offers high success rates with minimal complications and quick recovery for patients.
Area of Science:
- Colorectal Surgery
- Minimally Invasive Procedures
- Hemorrhoid Treatment
Background:
- Hemorrhoids are a common condition causing significant patient discomfort.
- Prolapsing hemorrhoids require effective and minimally invasive treatment options.
Purpose of the Study:
- To evaluate the long-term efficacy and safety of radiowave ablation and mucopexy for symptomatic prolapsing hemorrhoids.
- To analyze key outcomes including procedure time, complications, and patient recovery.
Main Methods:
- A prospective study involving 3148 patients with symptomatic and prolapsing hemorrhoids.
- Radiowave ablation using an Ellman generator followed by suture ligation with absorbable material.
- Analysis of operating time, postoperative complications, return to work, and long-term outcomes.
Main Results:
- High success rates: 95.7% reduction in bleeding, 98% resolution of prolapse, and 96% pain-free defecation post-procedure.
- Mean procedure time was 8 minutes; mean incapacity for work was 6 days.
- Low complication rate of 4.8% observed.
Conclusions:
- Radiowave ablation with mucopexy is a safe, effective, and convenient treatment for prolapsing hemorrhoids.
- The procedure demonstrates excellent long-term patient satisfaction and symptom relief.
