Randomized controlled study: radiofrequency coagulation and plication versus ligation and excision technique for rectal mucosal prolapse.
BACKGROUND
A novel technique of radiofrequency ablation and plication of the rectal mucosa (RAMP) as a treatment for rectal mucosal prolapse is reported. The results of this technique are compared with the conventional ligature and excision procedure (LEP).


METHODS
Radiofrequency ablation was performed using an Ellman radiofrequency generator. Patients with rectal mucosal prolapse were randomized to undergo either LEP or RAMP. The intra- and postoperative outcomes and complications were recorded.


RESULTS
RAMP on average resulted in reduced operation time, shorter hospitalization, and significantly less postoperative pain. Return to work was earlier and wound healing times were shorter than that of patients in the control group. The complication rates also were significantly shorter (9% in the RAMP group and 29% in the conventional LEP group).


CONCLUSIONS
The procedure of radiofrequency ablation and plication of rectal mucosa is safe, effective, and swift. It can be proposed as an effective alternative to conventional surgical procedures.
Gupta
Pravin J
PJ
Gupta Nursing Home, Laxminagar, Nagpur, India. drpjg_ngp@sancharnet.in
D000328:Adult; D017115:Catheter Ablation / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007413:Intestinal Mucosa / Q000601:surgery*; D007902:Length of Stay; D008026:Ligation; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D012005:Rectal Prolapse / Q000601:surgery*; D013536:Suture Techniques; D016896:Treatment Outcome