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Radiowave ablation and mucopexy for prolapsing hemorrhoids--a pilot study.

OBJECTIVE: The author proposes a technique of radiowave ablation and mucopexy of hemorrhoids for patients having symptomatic and prolapsing hemorrhoids and enumerates the events in such patients over 10 years.

MATERIAL AND METHOD: From May 1997 through December 2007, 3148 patients were included in the study. The hemorrhoids were ablated using radiowaves through a Ellman radiowave generator and were followed by suture ligation with absorbable suture material under vision. Operating time, postoperative complications, time to return to work, and outcome of the procedure were analyzed.

RESULTS: The mean procedure time was 8+/-0 min (range, 5-14 min). The mean total analgesic dose and duration of pain control using analgesics was 17+/-5 tablets, and 10+/-4 days respectively. The mean period of incapacity for work was 6 days [range 4-17 days]. Complications were identified in 4.8% patients. The postoperative follow-up after 4 weeks revealed therapeutic success in 3013 patients (95.7%), who presented with hemorrhoidal bleeding. Prolapse was no longer observed in 3085 (98%) of patients and 3022 (96%) patients experienced no pain after defecation. Up to December 2006, a total of 2897 patients were treated with this method. 2246 patients responded to our inquiry conducted at the beginning of 2008. Ninety-six percent of these patients confirmed that they no longer experienced any bleeding or pain during defecation and ninety-two percent patients did not had any prolapse.

CONCLUSIONS: This study shows that radiowave ablation followed by suture ligation of hemorrhoids is a simple, cost effective and convenient modality in treating prolapsing hemorrhoids.

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