Who needs a stapling device for haemorrhoidectomy, if one has the radiofrequency device?

Conventional haemorrhoidectomies are often associated with postoperative pain and bleeding. More recenttechniques such as stapled haemorrhoidopexy and radiofrequencyhaemorrhoidectomy aim to reduce these complications. We systematically compared the evidence on complications, outcomes, patient experiences and costs of these modern methods.

Haemorrhoidectomy is effective and widely used for symptomatic grade 3 and 4 haemorrhoidal disease [16]. Conventional excisional techniques includ ethe MilliganMorgan [10], Ferguson [6],and Parks procedures [12] performed with diathermy, scissors or scalpels. The most common problems are postoperative pain and bleeding. More recent techniques such as stapled haemorrhoidopexy (SH) and haemorrhoidectomy using a radiofrequency device (RFH) were developed to reduce these complications.

Herein, we aim to look at the evidence comparing SH to RFH with respect toc omplications, outcomes, patient experiences and costs.