Hemorrhoid Radiofrequency

Study Overview
=================
Brief Summary
-----------------
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).

Official Title
-----------------
Evaluation of Radiofrequency Efficiency in the Treatment of Hemorrhoid Pathology

Conditions
-----------------
Hemorrhoid Prolapse

Intervention / Treatment
-----------------
* Procedure: radiofrequency


Participation Criteria
=================
Eligibility Criteria
-----------------
Inclusion Criteria: Age ≥ 18 years Presence of haemorrhoidal pathology Patient operated on between March 2017 and March 2023, using the radiofrequency technique French-speaking patient Exclusion Criteria: ano-perineal involvement in Crohn's disease perianal fistula non-quiescent IBD radiation-induced rectitis psychiatric pathology. under guardianship or curatorship deprived of liberty under court protection Patient objecting to the use of his/her data for this research

Ages Eligible for Study
-----------------
Minimum Age: 18 Years

Sexes Eligible for Study
-----------------
All

Study Plan
=================
How is the study designed?
-----------------

Arms and Interventions

| Intervention/Treatment |
| --- |
|Procedure: radiofrequency|haemorrhoidal removal using radiofrequency|

What is the study measuring?
-----------------
Primary Outcome Measures

| Outcome Measure | 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 | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Measurement of patient satisfaction after surgery | Patient will be asked : would you recommand this procedure to a friend ? (yes or no) Knowing your personnal outcome would you undergo the same procedure again ? (yes or no) Patients are considered satisfied by the procedure when they answered yes to at least one of the questions. | 3 months post procedure | 
| 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 | 

 Terms related to the study
=================
Keywords Provided by Centre Hospitalier Valida
-----------------
radiofrequency