Diathermy haemorrhoidectomy: Reasons for a therapeutic choice

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COD: 155-160 Categorie: ,

Alessandro Falsetto, Vito De Pascale, Marcello Della Corte, Nicola Castaldo, Antonio Canero, Antonio Cennamo

Ann. Ital. Chir., 2005; 77: 1-6

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BACKGROUND: Diathermy haemorrhoidectomy is an effective technique for the management of 2nd,3rd and 4th degree haemorrhoids.
The anal cushions are excised by use of diathermy without ligature of the vascular pedicles. The aim of the
present study is to evaluate the efficacy and tolerability of this technique.
METHODS: Between September 1999 and September 2003, 84 patients with 2nd,3rd,and 4th degree haemorrhoids underwent
diathermy haemorrhoidectomy. Patients were discharged the same day or the day after. All the patients were asked to
complete two questionnaires one on the level of pain they experienced and the other on their expectation of pain. Patients
were followed-up for 1 to 4 years (range 12-48 months, mean 20.5).
RESULTS: The average pain severity score on a visual analogue scale (0-10) was 3.06± 0.38 and consistently lower than
expected. The majority of patients returned to their usual daily activities within 4 days and all of them returned to
work within 11 days. A mild residual secretion persisted for 4 to 5 weeks. None of our patients experienced postoperative
haemorrhage, complete stenosis or sphincteric disturbances.
CONCLUSIONS: Diathermy haemorrhoidectomy appears to be a safe, low cost and effective technique for the treatment of
haemorrhoids. It is well tolerated by patients.

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