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Ferguson hemorrhoidectomy with radiofrequency versus classic diathermy
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Filingeri, Vincenzino, Gravante, Gianpiero, Overton, John, Toti, Luca and Iqbal, Adam (2010) Ferguson hemorrhoidectomy with radiofrequency versus classic diathermy. Journal of Investigative Surgery, Vol.23 (No.3). pp. 170-174. doi:10.3109/08941930903564126 ISSN 0894-1939.
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Official URL: http://dx.doi.org/10.3109/08941930903564126
Abstract
Background: This randomized study compared results obtained with the Ferguson's technique for the treatment of hemorrhoids performed with a radiofrequency (RF) scalpel and traditional diathermy. Methods: 28 patients affected by grade IV hemorrhoids were randomized to receive either the Ferguson operation with the RF scalpel (group A) or traditional diathermy (group B). The operating time, intra-and postoperative bleeding, postoperative pain, and overall patient satisfaction were all recorded. Results: Six patients (three for each group) did not attend follow-up controls. Group A showed a significant reduction of the surgical time (23 vs. 33 min; p < .01), pain at first postoperative day (Visual Analog Scale [VAS] score 3.4 vs. 4.8; p < .05), and at the first evacuation (3.4 vs. 5.0; p < .05). No significant differences were observed for the pain score at the seventh postoperative day, or overall satisfaction scores at the 7th postoperative day, and six months postoperatively (p = NS). No severe complications were recorded. Two patients in group A (18.2%) and four patients in group B (36.4%) reported transitory gas incontinence that spontaneously resolved within one month (p = NS). Three patients in group A (27.3%) and four patients in group B (36.4%) required postoperative catheterization due to urinary retention (p = NS). Conclusions: RF scalpel shortens the operating time of the Ferguson operation and is less painful in the early postoperative period.
Item Type: | Journal Article | ||||
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Subjects: | R Medicine > RD Surgery | ||||
Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School | ||||
Journal or Publication Title: | Journal of Investigative Surgery | ||||
Publisher: | Taylor & Francis Inc. | ||||
ISSN: | 0894-1939 | ||||
Official Date: | June 2010 | ||||
Dates: |
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Volume: | Vol.23 | ||||
Number: | No.3 | ||||
Number of Pages: | 5 | ||||
Page Range: | pp. 170-174 | ||||
DOI: | 10.3109/08941930903564126 | ||||
Status: | Peer Reviewed | ||||
Publication Status: | Published | ||||
Access rights to Published version: | Restricted or Subscription Access |
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