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CRYOHAEMORRHOIDECTOMY A REVIEW OF 300 CASES.

R S Rai1, K Rup Kumar2

  • 1Graded Specialist (Surgery), Military Hospital, Secunderabad - 500015.

Medical Journal, Armed Forces India
|August 4, 2017
PubMed
Summary
This summary is machine-generated.

Cryosurgery effectively treated internal hemorrhoids (grade I and II) in 90% of patients. This hemorrhoid treatment showed fewer complications compared to traditional hemorrhoidectomy, making it a viable alternative.

Keywords:
CryosurgeryHaemorrhoids

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Area of Science:

  • Colorectal Surgery
  • Minimally Invasive Procedures
  • Hemorrhoid Treatment

Background:

  • Internal hemorrhoids (grade I and II) affect a significant patient population.
  • Traditional hemorrhoidectomy is a common treatment but associated with complications.
  • Cryosurgery presents a potential alternative for hemorrhoid management.

Purpose of the Study:

  • To evaluate the efficacy and complication rates of cryosurgery for internal hemorrhoids.
  • To compare cryosurgery outcomes with formal hemorrhoidectomy for grade II hemorrhoids.

Main Methods:

  • A prospective study involving 300 patients (210 men, 90 women) with internal hemorrhoids (grade I and II) undergoing cryosurgery.
  • A comparative group of 100 patients with grade II hemorrhoids who underwent formal hemorrhoidectomy.
  • Assessment of pile destruction and residual mass post-treatment.
  • Monitoring and comparison of complication rates between the two treatment groups.

Main Results:

  • Successful destruction of hemorrhoidal tissue was achieved in 270 (90%) of patients treated with cryosurgery.
  • Residual pile mass requiring further intervention was noted in 30 (10%) patients.
  • Cryosurgery demonstrated a lower rate of complications when compared to formal hemorrhoidectomy for grade II hemorrhoids.

Conclusions:

  • Cryosurgery is an effective treatment for grade I and II internal hemorrhoids, achieving high success rates.
  • The complication rate associated with cryosurgery is lower than that of formal hemorrhoidectomy.
  • Cryosurgery offers a favorable alternative for managing internal hemorrhoids, particularly concerning patient safety and recovery.