Cryosurgical haemorrhoidectomy

Abstract

One hundred consecutive cases of haemorrhoids were treated by cryosurgery. The cryoprobe used is a convenient and simple instrument and gave a satisfactory result in 94 of the patients. The technique and complications are described. The patients were treated as outpatients, usually without anaesthesia.

A Comparative Study of Different Treatments of Hemorrhoids

“…This problem was also reported by O'Connor [29]. Wilson and Schofield [30] and Savin [31] also reported an increased incidence of serous discharge and prolonged recovery for such patients. Smith et al [32] reported a study in which both closed hemorrhoidectomy and cryotherapy were performed in 26 patients.…”

Cryosurgery for Life‐threatening Bleeding Hemorrhoids in the Elderly

“…Many authors 1–4 have reported that relief of hemorrhoidal symptoms can be achieved by nonsurgical procedures such as sclerotherapy, ligation with a rubber band, and cryotherapy 5,6 and that surgical treatment is necessary in only a few such cases. Our own e−perience leads us to believe that cryosurgery gives the best results of all these procedures, provided that it is performed by a suitably qualified surgeon 7,8 who is aware of the inherent limitations of the cryogen and of the instrument used, and is thoroughly familiar with the anatomy and pathology of internal and e−ternal hemorrhoids.…”

“…An advantage of cryotherapy is that destroying local nerve endings 1 enables avoidance of the pain, inconvenience and disability associated with classic surgical hemorrhoidectomy. Nine of our patients who had previously undergone surgical hemorrhoidectomy described cryotherapy as “miraculous” in comparison.…”

Hemorrhoids

“…Jaundice has been reported due to injection directly into the inferior hemorrhoidal veins [112]. Jaundice has been reported due to injection directly into the inferior hemorrhoidal veins [112].…”

“…Local anesthesia may be required; sedation or prescription of analgesic is necessary. Successes range from 45% to 88% of patients treated [16,35,85,112]. This requires the patient to wear anal pads for 2-3 weeks.…”