Hemorrhoid Radiofrequency

Fondation Hôpital Saint-Joseph80 enrolled

Overview

Triapedicular haemorroidectomy is currently the gold standard in haemorrhoidal pathology. Minimally invasive surgical techniques now play an important role in the haemorrhoidal management algorithm, particularly for less advanced stages of the disease. Among these techniques, radiofrequency is one of the most recent and is gradually gaining ground. It involves applying a radiofrequency current to the internal haemorrhoidal tissue in order to induce its involution. The literature has shown that this technique leads to symptomatic improvement in over 60% of cases and a high satisfaction rate, even though some patients still seem to have haemorrhoidal symptoms postoperatively. The aim of this study is to evaluate the efficacy of this technique in patients with haemorrhoidal pathology operated on at our centre, using "hard" criteria which are thought to be more rigorous ("cure" rather than "improvement").

Study Type

OBSERVATIONAL

Enrollment

Conditions

Hemorrhoid Prolapse

Interventions

radiofrequencyPROCEDURE

haemorrhoidal removal using radiofrequency

Medical Language ↔ Plain English

Inclusion Criteria: * Age ≥ 18 years * Presence of haemorrhoidal pathology * Patient operated on between March 2017 and March 2023, using the radiofrequency technique * French-speaking patient Exclusion Criteria: * ano-perineal involvement in Crohn's disease * perianal fistula * non-quiescent IBD * radiation-induced rectitis * psychiatric pathology. * under guardianship or curatorship * deprived of liberty * under court protection * Patient objecting to the use of his/her data for this research

Outcomes

Primary Outcomes

Evaluation of radiofrequency treatment efficiency

Assessement of the procedure efficiency on prolapsus (using Goligher Score) and bleeding (using Haemorrhoidal bleeding score). Procedure is considered efficient when Goligher Score =1 AND HBS = 0