Bipolar radiofrequency-induced thermotherapy of haemorrhoids: a 10-year experience
Authors:
J. Duben 1; P. Ponížil 2; B. Dudešek 1; L. Hnátek 3; J. Gatěk 1
Authors place of work:
Chirurgické oddělení nemocnice Atlas Zlín, Univerzita Tomáše Bati Zlín
1; Oddělení statistiky a bioanalýzy Univerzita Tomáše Bati Zlín
2; Angiocor Zlín
3
Published in the journal:
Rozhl. Chir., 2018, roč. 97, č. 9, s. 419-422.
Category:
Original articles
Summary
Introduction:
Bipolar radiofrequency-induced thermotherapy of advanced stage haemorrhoid disease has been used successfully at the Atlas Hospital in Zlin for ten years. The aim of this study was to evaluate long-term outcomes of the method.
Method:
RFITTH is bipolar radiofrequency-induced thermotherapy of haemorrhoidal diseases. High frequency electric current causes thermal coagulation of tissue. The procedure results in the elimination or significant reduction of prolapse and bleeding of hemorrhoids.
Results:
228 RFITTH procedures were performed in 217 patients at the Department of Surgery at the Atlas Hospital from 9/2007 to 1/2017. The group consisted of 134 men and 94 women, the average age was 51 years. 107 operations were performed in stage III and 121 in stage IV. Complications of the procedure involved postoperative fissure occurring in 20 patients (8.7 %). Thrombotic haemorrhoid developed in 6 patients (2.6 %), hyperspasm of the sphincters in 9 patients (3.9 %). Prolapse of the rectal mucosa was diagnosed in 4 patients (1.7 %). The disease recurred in 9 patients and 10 reoperations were performed (3.9 %).
Conclusion:
The method is a safe miniinvasive therapeutic option for advanced stage haemorrhoidal disease.
Key words:
RFITTH − haemorrhoidal disease − radiofrequency coagulation
Zdroje
1. Duben J, Hnátek L, Dudešek B, et al. První výsledky studie bipolární RFITT koagulace vyšších stadií hemoroidální nemoci. Rozhl Chir 2008;87:576−9.
2. Duben J. Hemoroidy, konzervativní a invazivní možnosti léčby. Practicus 2012;6:16–20.
3. Duben J, Hnatek L, Dudesek B, et al. Bipolar radiofrequency-induced thermotherapy of haemorrhoids: a new minimally invasive method for haemorrhoidal disease treatment. Early results of a pilot study. Videosurgery Miniinv 2013;8:43−8.
4. Ferguson JA, Mazier WP, Ganchrow MI, et al. The closed technique of hemorrhoidectomy. Surgery 1971;70:480−4.
5. Longo A. Treatment of haemorrhoidal disease by reduction of mucosa and haemorrhoidal prolapse with a circular suturing device: A new procedure. Proceedings of the 6th World Congress of Endoscopic Surgery, Rome. Monduzzi Editore, Bologna 1998;777–84.
6. Hahn M, Šimša J, Horák J. Operační léčba hemoroidů Longovou metodou a její komplikace. Rozhl Chir 2003;82:307−11.
7. Vávra P, Zonča P, Malý T, et al. Nová metoda v léčbě hemoroidálních uzlů pomocí stapleru PPH podle Longo. Rozhl Chir 2001;80:308−10.
8. Sutherland LM, Burchard AK, Matsuda K, et al. A systematic review of stapled hemorrhoidectomy. Arch Surg 2002;137:1395–1406, discussion 1407.
9. Shao WJ, Li GC, Zhang ZH, et al. Systematic review and meta-analysis of randomized controlled trials comparing stapled haemorrhoidopexy with conventional haemorrhoidectomy. Br J Surg 2008;95:147–60.
10. Tjandra JJ, Chan MK. Systematic review on the procedure for prolapse and hemorrhoids (stapled hemorrhoidopexy). Dis Colon Rectum 2007;50:878–92.
11. Gravié JF, Lehur PA, Huten N, et al. Stapled hemorrhoidopexy versus Milligan–Morgan hemorrhoidectomy: a prospective, randomized, multicenter trial with 2 - year postoperative follow up. Ann Surg 2005;242:29–35.
12. Štukavec J, Horák L. Komplikace operace podle Longa – okluze rekta. Rozhl Chir 2006;85: 517−9.
13. Iwagaki H, Higuchi Y, Fuchimoto S, et al. The laser treatment of hemorrhoids: results of a study on 1816 patients. Jpn J Surg 1989;19:658−61
14. Leicester RJ, Nicholls RJ, Mann CV. Infrared coagulation: A new treatment for haemorrhoids. Dis Colon Rectum 1981;24: 602–5.
15. Walker AJ, Leicester RJ, Nicholls RJ, et al. A prospective study of infrared coagulation, injection and rubber band ligation in the treatment of haemorrhoids. Int J Colorectal Dis 1990;5:113–6.
16. Gupta J. Radio-ablation of advanced grades of hemorrhoids with radiofrequency. Current Surgery 2003;60:452−8.
17. Gupta JP. Randomized trial comparing in-situ radiofrequency ablation and Milligan-Morgan hemorrhoidectomy in prolapsing hemorrhoids. Journal of Nippon Medical School 2003;70:393−400.
18. Simillis C, Thoukididou SN, Slesser AA. Systematic review and network meta-analysis comparing clinical outcomes and effectiveness of surgical treatments for haemorrhoids. Br J Surg 2015;102:1603–8
Štítky
Surgery Orthopaedics Trauma surgeryČlánok vyšiel v časopise
Perspectives in Surgery
2018 Číslo 9
- Spasmolytic Effect of Metamizole
- Metamizole at a Glance and in Practice – Effective Non-Opioid Analgesic for All Ages
- Metamizole in perioperative treatment in children under 14 years – results of a questionnaire survey from practice
Najčítanejšie v tomto čísle
- Celiac axis compression syndrome – diagnostic and surgical treatment
- Bipolar radiofrequency-induced thermotherapy of haemorrhoids: a 10-year experience
- Strategies preventing deep sternal wound infection in cardiac surgery − review
- Clear-cell sarcoma of tendons and aponeuroses in the right genitofemoral line – a case report