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Acupoint Needle-Embedding Combined with Ironing Therapy for Postoperative Pain After Anal Surgery

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Ambulatory therapy with combined hemorrhoidal radiocoagulation.

V Filingeri¹, R Angelico, M I Bellini

¹Department of Surgical Sciences, School of Medicine, University of Rome Tor Vergata, Rome, Italy. v.filingeri@tiscali.it

European Review for Medical and Pharmacological Sciences

|January 19, 2013

Summary

Combined Hemorrhoidal Radiocoagulation (CHR) demonstrated superior patient satisfaction and pain relief compared to Radiofrequency Coagulation (RFC) for grade II hemorrhoids over six months. CHR also showed a higher rate of patients free from pain.

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Area of Science:

Gastroenterology
Surgical Innovation
Minimally Invasive Procedures

Background:

Hemorrhoidal disease affects a significant portion of the population.
Grade II hemorrhoids present a common clinical challenge.
Evaluating novel treatment modalities is crucial for improving patient outcomes.

Purpose of the Study:

To compare the efficacy of Radiofrequency Coagulation (RFC) and Combined Hemorrhoidal Radiocoagulation (CHR) for grade II hemorrhoids.
To assess patient-reported outcomes including pain, satisfaction, and treatment failure.
To determine the long-term effectiveness of both RFC and CHR.

Main Methods:

Prospective randomized study involving 30 patients with grade II hemorrhoids.
Patients were divided into two groups: RFC (n=12) and CHR (n=15).
Outcomes measured included immediate post-procedure pain, pain at first evacuation, patient satisfaction at 15 days and 6 months, and incidence of failures.

Main Results:

No significant difference in immediate post-procedure or first evacuation pain scores between RFC and CHR groups.
Patient satisfaction scores at 6 months were significantly higher in the CHR group (7.83) compared to the RFC group (6.33) (p < 0.05).
At 6 months, 86.7% of patients in the CHR group were pain-free compared to 66.7% in the RFC group.

Conclusions:

Both RFC and CHR are valid and effective treatments for grade II hemorrhoids.
CHR demonstrates superior patient satisfaction and a higher rate of pain resolution at the 6-month follow-up compared to RFC.
CHR may be a preferred treatment option for long-term efficacy in managing grade II hemorrhoids.