Outpatient treatment of hemorrhoids with a combined technique: results in 7850 cases.
A combination of sclerotherapy, rubber band ligation and infrared coagulation was performed in 7850 patients seen an outpatient clinic over a period of 9 years. The most common symptom was bleeding followed by prolapse, pain and itching. Results were considered satisfactory in 7100 patients (90.5%); 750 (9.5%) required a formal hemorrhoidectomy. Complications were mild to moderate pain in 1777 cases (22.6%), severe pain in 157 cases (2.2%), mild hemorrhage in 199 (2.5%) and hemorrhage requiring transfusion in 10 cases (0.1%). In conclusion, non-surgical outpatient treatment has a great impact on patient's perception of the disease and results in considerable savings for the healthcare system.
Accarpio
G
G
Department of Colorectal Surgery, Villa Scassi Hospital, Sampierdarena (GE), Italy.
Ballari
F
F
Puglisi
R
R
Menoni
S
S
Ravera
G
G
Accarpio
F T
FT
Cariati
A
A
Zaffarano
R
R
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000553:Ambulatory Care / Q000379:methods*; D003131:Combined Modality Therapy / Q000379:methods; D005260:Female; D006484:Hemorrhoids / Q000601:surgery* / Q000628:therapy*; D006801:Humans; D017075:Laser Coagulation / Q000379:methods*; D008026:Ligation / Q000379:methods; D008297:Male; D008875:Middle Aged; D017063:Outcome Assessment, Health Care; D011183:Postoperative Complications; D012189:Retrospective Studies; D015911:Sclerotherapy / Q000379:methods*; D012720:Severity of Illness Index