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

International Journal of Colorectal Disease volume 24, pages 455–460 (2009)Cite this article

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 < 0.005). The mean total analgesic dose and duration of pain control using analgesics were greater and longer for suture ligation group than radiowave group (29 ± 4 vs. 23 ± 3 tablets, and 15 ± 3 days vs. 12 ± 4 days, respectively; p < 0.001). Complications were seen more frequently in radiowave group (22% vs.18%). At 1 year follow-up, the recurrence of hemorrhoids was more significant with the suture ligation group (five patients vs. one patient, p < 0.05).

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.

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Authors and Affiliations

  1. Fine Morning Hospital and Research Center, Gupta Nursing Home, Laxminagar, Nagpur, 440022, India

    P. J. Gupta, P. S. Heda & S. Kalaskar

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  1. P. J. Gupta
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  2. P. S. Heda
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  3. S. Kalaskar
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Correspondence to P. J. Gupta.

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Gupta, P.J., Heda, P.S. & Kalaskar, S. Randomized controlled study between suture ligation and radio wave ablation and suture ligation of grade III symptomatic hemorrhoidal disease. Int J Colorectal Dis 24, 455–460 (2009). https://doi.org/10.1007/s00384-008-0579-9

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  • DOI: https://doi.org/10.1007/s00384-008-0579-9

Keywords

  • Hemorrhoids
  • Ligation
  • Radio wave
  • Suture
  • Pain