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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").
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| radiofrequency | Procedure | haemorrhoidal removal using radiofrequency |
| Measure | Description | Time Frame |
|---|---|---|
| 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 | 3 months post procedure |
| Measure | Description | Time Frame |
|---|---|---|
| Measurement of patient satisfaction after surgery | Patient will be asked :
Patients are considered satisfied by the procedure when they answered yes to at least one of the questions. | 3 months post procedure |
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Inclusion Criteria:
Exclusion Criteria:
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Patient suffering for Haemorroidal pathology and requiring a removal procedure to whom a Radiofrequency procedure was performed
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Amine Antonin Alam, MD | Contact | +331441286 94 | aalam@ghpsj.fr | |
| Hélène BEAUSSIER, PharmaD, PhD | Contact | +33144127038 | crc@ghpsj.fr |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Fondation Hôpital Saint Joseph | Recruiting | Paris | 75014 | France |
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| Incidence rate of procedure complication | incidence rate of haemorrhagic complication or acute urinary retention or other complication (such as post surgery abcess, localized infection, haematoma) | 3 months post procedure |
| description of procedure complication | 3 months post procedure |
| Identification of predictive factor for success | pre-procedure parameters will be correlated with procedure success (Goligher Score =1 AND HBS = 0 after procedure) in order to identify which factors give a higher chance of success | 3 months post procedure |