Our Summary

This research paper investigates two different radiofrequency treatments for hemorrhoids, which are painful swollen veins in the lower part of the rectum or anus. The two treatments are called LigaSure™ and Vojant™, and they are compared using the Milligan-Morgan technique. The study involved 50 patients who were randomly divided into two groups, one for each treatment, throughout the year 2016.

The results showed that patients who received the LigaSure™ treatment experienced less pain, healed faster, and were able to return to work sooner than those who received the Vojant™ treatment. However, there was one case of a condition called stenosis (narrowing of a passage in the body) in the LigaSure™ group and two in the Vojant™ group. The differences in stenosis were not statistically significant.

Overall, the study concludes that Vojant™ is a valid alternative to LigaSure™ for hemorrhoid treatment. However, LigaSure™ might be more beneficial in terms of pain reduction and faster recovery.

FAQs

  1. What are the LigaSure™ and Vojant™ treatments for hemorrhoids?
  2. According to the study, which treatment resulted in less pain and quicker recovery times?
  3. Was there a significant difference in the occurrence of stenosis between the LigaSure™ and Vojant™ treatment groups?

Doctor’s Tip

A helpful tip a doctor might give a patient about hemorrhoidectomy is to follow post-operative care instructions carefully, including taking prescribed pain medication, keeping the area clean, and avoiding straining during bowel movements. It is also important to eat a high-fiber diet, stay hydrated, and avoid sitting or standing for long periods of time to help promote healing and prevent complications. Additionally, it is recommended to follow up with the doctor for any concerns or issues that may arise during the recovery process.

Suitable For

Hemorrhoidectomy is typically recommended for patients who have severe or recurrent hemorrhoids that do not respond to other treatments such as diet modification, over-the-counter creams, and lifestyle changes. Patients who experience chronic bleeding, extreme pain, or prolapsed hemorrhoids (when the hemorrhoid protrudes from the anus) may also be candidates for hemorrhoidectomy. Additionally, patients with large external hemorrhoids or thrombosed hemorrhoids (blood clots in the hemorrhoid) may benefit from surgical intervention. It is important for patients to discuss their symptoms and treatment options with a healthcare provider to determine if hemorrhoidectomy is the right choice for them.

Timeline

Before hemorrhoidectomy:

  1. Patients experience symptoms of hemorrhoids such as pain, itching, swelling, and bleeding.
  2. Patients may try conservative treatments such as over-the-counter creams, sitz baths, and increased fiber intake to manage symptoms.
  3. If conservative treatments are ineffective, patients may consult with a doctor who may recommend surgical intervention such as hemorrhoidectomy.

After hemorrhoidectomy:

  1. Patients undergo the surgical procedure to remove the hemorrhoids.
  2. Post-surgery, patients may experience pain, discomfort, and swelling in the anal area.
  3. Patients are advised to take pain medication, eat a high-fiber diet, and practice good hygiene to aid in the healing process.
  4. Follow-up appointments with the doctor are scheduled to monitor recovery and address any complications.
  5. Patients gradually experience relief from hemorrhoid symptoms and are able to return to normal activities as they heal.

What to Ask Your Doctor

  1. What are the potential risks and complications associated with a hemorrhoidectomy procedure using LigaSure™ or Vojant™?

  2. How long is the recovery period expected to be for each treatment option?

  3. Will I need to make any lifestyle changes or follow a specific diet after the procedure?

  4. What type of anesthesia will be used during the hemorrhoidectomy procedure?

  5. How many hemorrhoidectomy procedures have you performed using each of these techniques?

  6. Are there any alternative treatments or procedures available for my hemorrhoid condition?

  7. What is the success rate of each treatment option in terms of long-term relief from hemorrhoid symptoms?

  8. Will I need to schedule a follow-up appointment after the procedure, and if so, when?

  9. How soon after the hemorrhoidectomy can I resume normal activities, such as exercise and work?

  10. Are there any specific instructions or precautions I should follow before and after the hemorrhoidectomy procedure to ensure the best possible outcome?

Reference

Authors: Lisi G, Campanelli M, Mascagni D, Grande S, Grande M, Milito G. Journal: Minerva Gastroenterol Dietol. 2019 Jun;65(2):95-99. doi: 10.23736/S1121-421X.18.02509-6. Epub 2018 Oct 2. PMID: 30293413