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Radiofrequency ablation for the treatment of haemorrhoidal disease: a minimally invasive and effective treatment modality
BACKGROUND: Haemorrhoidal disease (HD) is a common colorectal condition that often requires surgical treatment. Less invasive procedures are usually more acceptable to patients. The aim of this study was to report the outcome of a novel and minimally invasive technique employing a radiofrequency abl...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer International Publishing
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6736898/ https://www.ncbi.nlm.nih.gov/pubmed/31399891 http://dx.doi.org/10.1007/s10151-019-02054-2 |
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author | Eddama, M. M. R. Everson, M. Renshaw, S. Taj, T. Boulton, R. Crosbie, J. Cohen, C. Richard |
author_facet | Eddama, M. M. R. Everson, M. Renshaw, S. Taj, T. Boulton, R. Crosbie, J. Cohen, C. Richard |
author_sort | Eddama, M. M. R. |
collection | PubMed |
description | BACKGROUND: Haemorrhoidal disease (HD) is a common colorectal condition that often requires surgical treatment. Less invasive procedures are usually more acceptable to patients. The aim of this study was to report the outcome of a novel and minimally invasive technique employing a radiofrequency ablation (RFA) energy (Rafaelo(®)) to treat HD. METHODS: A total number of 27 patients who had RFA for the treatment of HD were recruited to this study. The procedure was performed under deep sedation and local anaesthesia. Patients’ demographics; haemorrhoid severity score (HSS); quality of life; pain and satisfaction scores; and recurrence rate were recorded. RESULTS: The mean age of the patients was 46 (SD 14) years, 18 (67%) males and 9 (33%) females. The mean body mass index was 25 (SD 4) kg/m(2). The predominant symptom of all patients was per-rectal bleeding. HSS improved from 7.2 (SD 1.9) before the procedure to 1.6 (SD 1) after the procedure (p < 0.0001). Postoperative pain scores on a scale of 0–10 were 0, 2 (SD 2), 1 (SD 2), and 0 on immediate, day-1, day-3, and 2-month follow-up questionnaire. The mean satisfacion score was 9 (SD 1.5) out of 10 on 2-month follow-up. Mean time until patients returned to normal daily activity was 3 (SD 1) days following the procedure. Quality-of-life assessments including: visual analogue scale scores (before: mean 70, SD 23; after: mean 82, SD 16; p < 0.001) and EQ-5D-5L (before: mean 0.84, SD 0.15; after: mean 0.94, SD 0.13; p < 0.05) were significantly improved. The mean length of follow-up for recurrence of symptoms was 20 months (range 12–32 months). One patient (4%) reported the recurrence of rectal bleeding 12 months after the procedure. CONCLUSIONS: RFA for the treatment of HD is safe and effective in achieving symptomatic relief. It is associated with minimal postoperative pain and low incidence of recurrence. |
format | Online Article Text |
id | pubmed-6736898 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Springer International Publishing |
record_format | MEDLINE/PubMed |
spelling | pubmed-67368982019-09-23 Radiofrequency ablation for the treatment of haemorrhoidal disease: a minimally invasive and effective treatment modality Eddama, M. M. R. Everson, M. Renshaw, S. Taj, T. Boulton, R. Crosbie, J. Cohen, C. Richard Tech Coloproctol Technical Note BACKGROUND: Haemorrhoidal disease (HD) is a common colorectal condition that often requires surgical treatment. Less invasive procedures are usually more acceptable to patients. The aim of this study was to report the outcome of a novel and minimally invasive technique employing a radiofrequency ablation (RFA) energy (Rafaelo(®)) to treat HD. METHODS: A total number of 27 patients who had RFA for the treatment of HD were recruited to this study. The procedure was performed under deep sedation and local anaesthesia. Patients’ demographics; haemorrhoid severity score (HSS); quality of life; pain and satisfaction scores; and recurrence rate were recorded. RESULTS: The mean age of the patients was 46 (SD 14) years, 18 (67%) males and 9 (33%) females. The mean body mass index was 25 (SD 4) kg/m(2). The predominant symptom of all patients was per-rectal bleeding. HSS improved from 7.2 (SD 1.9) before the procedure to 1.6 (SD 1) after the procedure (p < 0.0001). Postoperative pain scores on a scale of 0–10 were 0, 2 (SD 2), 1 (SD 2), and 0 on immediate, day-1, day-3, and 2-month follow-up questionnaire. The mean satisfacion score was 9 (SD 1.5) out of 10 on 2-month follow-up. Mean time until patients returned to normal daily activity was 3 (SD 1) days following the procedure. Quality-of-life assessments including: visual analogue scale scores (before: mean 70, SD 23; after: mean 82, SD 16; p < 0.001) and EQ-5D-5L (before: mean 0.84, SD 0.15; after: mean 0.94, SD 0.13; p < 0.05) were significantly improved. The mean length of follow-up for recurrence of symptoms was 20 months (range 12–32 months). One patient (4%) reported the recurrence of rectal bleeding 12 months after the procedure. CONCLUSIONS: RFA for the treatment of HD is safe and effective in achieving symptomatic relief. It is associated with minimal postoperative pain and low incidence of recurrence. Springer International Publishing 2019-08-09 2019 /pmc/articles/PMC6736898/ /pubmed/31399891 http://dx.doi.org/10.1007/s10151-019-02054-2 Text en © The Author(s) 2019 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. |
spellingShingle | Technical Note Eddama, M. M. R. Everson, M. Renshaw, S. Taj, T. Boulton, R. Crosbie, J. Cohen, C. Richard Radiofrequency ablation for the treatment of haemorrhoidal disease: a minimally invasive and effective treatment modality |
title | Radiofrequency ablation for the treatment of haemorrhoidal disease: a minimally invasive and effective treatment modality |
title_full | Radiofrequency ablation for the treatment of haemorrhoidal disease: a minimally invasive and effective treatment modality |
title_fullStr | Radiofrequency ablation for the treatment of haemorrhoidal disease: a minimally invasive and effective treatment modality |
title_full_unstemmed | Radiofrequency ablation for the treatment of haemorrhoidal disease: a minimally invasive and effective treatment modality |
title_short | Radiofrequency ablation for the treatment of haemorrhoidal disease: a minimally invasive and effective treatment modality |
title_sort | radiofrequency ablation for the treatment of haemorrhoidal disease: a minimally invasive and effective treatment modality |
topic | Technical Note |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6736898/ https://www.ncbi.nlm.nih.gov/pubmed/31399891 http://dx.doi.org/10.1007/s10151-019-02054-2 |
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