Journal of Nippon Medical School: Vol.70 No.5 page.393

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ArticleTitle Randomized Trial Comparing In-Situ Radiofrequency Ablation and Milligan-Morgan Hemorrhoidectomy in Prolapsing Hemorrhoids

AuthorList Pravin J. Gupta

Affiliation Consulting Proctologist, Fine Morning Hospital and Research Center, Gupta Nursing Home

Language EN

Volume 70

Issue 5

Year 2003

Page 393-400

Received February 13, 2003

Accepted March 31, 2003

Keywords prolapsing hemorrhoids, hemorrhoidectomy, milligan-morgan, radiofrequency ablation

Abstract The Milligan-Morgan (MM) operation is the most widely practiced procedure for prolapsed hemorrhoids. But it is also associated with a fair amount of postoperative pain, a long period of convalescence, and complications like bleeding and anal stenosis. The aim of this study was to evaluate the efficacy of in-situ radiofrequency ablation (RA) of hemorrhoids.
During a 6-month period, 40 patients with grade 3 hemorrhoids were prospectively randomized for RA (21 patients) or MM hemorrhoidectomy (19 patients). Patients were evaluated for operative time, postoperative pain, time to return to work and occurrence of early and late complications.
Duration of surgery was significantly higher in the MM group (p<0.0001). Postoperative hospitalization was longer in the MM group (p<0.001). The post defecation pain and pain at rest were much less in the RA group (p<0.001). Wound healing period (16.3 vs. 37.5 days) and time to return to work (7.3 vs. 18.3 days) were other significant findings. Early complications occurred more frequently in the MM group, but late complications like external skin tags [4 patients vs. 2 patients] and one asymptomatic recurrence was noted in the RA group.
In-situ RA of prolapsing hemorrhoids is a quick and bloodless procedure. It is associated with significantly less postoperative pain, shorter hospital stay and early return to normal activity. It can be considered as an alternative to conventional hemorrhoidectomy.

Correspondence to Correspondence to Pravin J. Gupta, M. S (Gen. Surgery) Consulting Proctologist, Fine Morning Hospital and Research Center, Gupta Nursing Home, D/9, Laxminagar, NAGPUR-440022, INDIA
drpjg@yahoo.co.in

ArticleTitle	Randomized Trial Comparing In-Situ Radiofrequency Ablation and Milligan-Morgan Hemorrhoidectomy in Prolapsing Hemorrhoids
AuthorList	Pravin J. Gupta
Affiliation	Consulting Proctologist, Fine Morning Hospital and Research Center, Gupta Nursing Home
Language	EN
Volume	70
Issue	5
Year	2003
Page	393-400
Received	February 13, 2003
Accepted	March 31, 2003
Keywords	prolapsing hemorrhoids, hemorrhoidectomy, milligan-morgan, radiofrequency ablation
Abstract	The Milligan-Morgan (MM) operation is the most widely practiced procedure for prolapsed hemorrhoids. But it is also associated with a fair amount of postoperative pain, a long period of convalescence, and complications like bleeding and anal stenosis. The aim of this study was to evaluate the efficacy of in-situ radiofrequency ablation (RA) of hemorrhoids. During a 6-month period, 40 patients with grade 3 hemorrhoids were prospectively randomized for RA (21 patients) or MM hemorrhoidectomy (19 patients). Patients were evaluated for operative time, postoperative pain, time to return to work and occurrence of early and late complications. Duration of surgery was significantly higher in the MM group (p<0.0001). Postoperative hospitalization was longer in the MM group (p<0.001). The post defecation pain and pain at rest were much less in the RA group (p<0.001). Wound healing period (16.3 vs. 37.5 days) and time to return to work (7.3 vs. 18.3 days) were other significant findings. Early complications occurred more frequently in the MM group, but late complications like external skin tags [4 patients vs. 2 patients] and one asymptomatic recurrence was noted in the RA group. In-situ RA of prolapsing hemorrhoids is a quick and bloodless procedure. It is associated with significantly less postoperative pain, shorter hospital stay and early return to normal activity. It can be considered as an alternative to conventional hemorrhoidectomy.
Correspondence to	Correspondence to Pravin J. Gupta, M. S (Gen. Surgery) Consulting Proctologist, Fine Morning Hospital and Research Center, Gupta Nursing Home, D/9, Laxminagar, NAGPUR-440022, INDIA drpjg@yahoo.co.in