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Minerva Gastroenterologica e Dietologica 2019 June;65(2):95-9

DOI: 10.23736/S1121-421X.18.02509-6

Copyright © 2018 EDIZIONI MINERVA MEDICA

lingua: Inglese

Radiofrequency hemorrhoidectomy: less is less? Results of a comparative study

Giorgio LISI 1 , Michela CAMPANELLI 2, Domenico MASCAGNI 3, Simona GRANDE 4, Michele GRANDE 5, Giovanni MILITO 5

1 Department of General Surgery, Sant’Eugenio Hospital, Rome, Italy; 2 Department of General Surgery, University of Modena and Reggio Emilia, Modena, Italy; 3 Department of Surgical Sciences, Sapienza University, Rome, Italy; 4 University of Messina, Messina, Italy; 5 Department of General and Emergency Surgery, University of Tor Vergata, Rome, Italy



BACKGROUND: Radiofrequency has been introduced as an instrument conceived to upgrade the conventional treatment of hemorrhoidectomy. To reduce the economic aspect, recently a new radiofrequency device has been introduced: Vojant™. The aim of this study was to compare the clinical outcomes of hemorrhoidectomy with LigaSure™ and Vojant™, performed with the Milligan-Morgan technique, on the medium term.
METHODS: Between January 2016 and December 2016, 50 consecutive patients with symptomatic grade III and IV were scheduled for surgical treatment. Patients were assigned randomly to either Vojant™ or LigaSure™ hemorrhoidectomy. All preoperative and postoperative data were collected.
RESULTS: Patients in the LigaSure™ group experienced less pain than those treated with Vojant™, (P<0.05). In the Vojant™ group one patient developed immediate postoperative bleeding (within 48 hours), the other one seven days after surgery. Complete wound healing and return to work activities was faster in the LigaSure™ group (P<0.05). One case of stenosis in the LigaSure™ group and two in the Vojant™ group were detected (P>0.05).
CONCLUSIONS: Radiofrequency hemorrhoidectomy with Vojant™ seems a valid alternative to LigaSure hemorrhoidectomy.


KEY WORDS: Hemorrhoidectomy - Radiofrequency - Operative surgical procedures

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