Randomized controlled study between suture ligation and radio wave ablation and suture ligation of grade III symptomatic hemorrhoidal disease

  • Gupta P
  • Heda P
  • Kalaskar S
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Abstract

PURPOSE: Suture ligation is a simple method to curb the hemorrhoids. The present study was conducted to determine the usefulness of suture ligation in third-degree hemorrhoids and to compare it with author's procedure of suture ligation coupled with hemorrhoidal ablation through radiowave.

MATERIALS AND METHODS: One hundred and twenty-four consecutive patients with grade III hemorrhoids requiring surgery were randomized into two groups. Half of them were treated by suture ligation, while the remaining patients underwent a radiowave ablation of hemorrhoids using a Ellman radiowave generator followed by suture ligation. A blinded observer evaluated postoperative pain scores, amount of analgesics consumed, and complications encountered. He also assessed recurrence of hemorrhoids after 1 year.

RESULTS: The postoperative pain score was significantly higher in the suture ligation group (3.4+/-0.2 vs. 2.2+/-0.1, p
CONCLUSION: Suture ligation of hemorrhoids is a simple, cost-effective, and a convenient modality in treating third-degree hemorrhoids. The efficacy and postoperative comfort is further enhanced if the hemorrhoids are ablated with radiowave prior to ligating them.

Author-supplied keywords

  • Hemorrhoids
  • Ligation
  • Pain
  • Radio wave
  • Suture

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Authors

  • P. J. Gupta

  • P. S. Heda

  • S. Kalaskar

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