Ambulatory therapy with combined hemorrhoidal radiocoagulation

作者：Filingeri V^*; Angelico R; Bellini M I; Manuelli M; Sforza D

来源：European Review for Medical and Pharmacological Sciences, 2013, 17(1): 130-133.

• Hemorrhoids
• Radiofrequency
• Proctology

BACKGROUND: This is a prospective randomized study to analyze results obtained in two groups of patients affected of grade II hemorrhoids and treated with Radiofrequency Coagulation (RFC) or Combined Hemorrhoidal Radiocoagulation (CHR). %26lt;br%26gt;PATIENTS AND METHODS: The study comprehended 30 patients of which 27 had at least 6 months of follow-up. Two groups of patients were considered: group A, represented by 12 individuals treated with RFC, and group B, consisting of 15 patients treated with CHR. %26lt;br%26gt;Our purpose was to determine: grade of pain felt immediately after procedure and at first evacuation (score from 1 to 10), bleeding, patient%26apos;s satisfaction 15 days and 6 months after treatment (score from 1 to 10) and incidence of failures. %26lt;br%26gt;RESULTS: Mean pain score reported immediately after procedure was 2.08 +/- 0.9 for group A and 2.40 +/- 1.5 for group B (p = NS). At first evacuation, mean pain score for group A and for group B was 2.16 +/- 1.1 vs 2.33 +/- 1.17, respectively (p = NS). Satisfaction score during first 15 days was 6.75 +/- 2.76 for patients treated with RFC and 6.08 +/- 2.20 for patients who received CHR (p = NS), while mean score of overall satisfaction after 6 months was 6.33 +/- 1.96 (group A) vs 7.83 +/- 2.05 (group B) (p %26lt; 0.05). At 6 months of follow-up, we observed 8 patients free from pain in group A (66.7%) and 13 patients in group B (86.7%). %26lt;br%26gt;CONCLUSIONS: Results reported in both groups of patients confirm validity and efficacy of the two techniques used in this study, even if later in time CHR showed better results than RFC.

• 出版日期2013-1