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RFA was performed in the operating room under locoregional or general anaesthesia. Secondary endpoints were evolution of symptoms prolapsus, bleeding, pain, itching, anal discomfort , complications, postoperative pain and medical leave. Median medical leave was 4 days [1—14]. Seven patients 5. Reported complications were haemorrhage 3 , dysuria 3 , abscess 2 , anal fissure 1 , external haemorrhoidal thrombosis 10 , pain requiring morphine RFA is associated with an improvement in quality of life and symptoms with a good safety profile.
As expected for minimally invasive surgery, postoperative pain is minor with short medical leave. Haemorrhoidal disease is common. After failure of other treatments, surgery improves the quality of life of patients [ 3 , 4 ]. The standard surgical technique in Europe, described by Milligan and Morgan in [ 5 ], is the submucosal resection of the three main haemorrhoidal bundles. In the long-term, such haemorrhoidectomy is the most effective [ 6 ].
However, the long and painful postoperative course could be a barrier for patients. In addition, minimally invasive surgeries for haemorrhoids have been developed, such as stapled haemorrhoidopexy [ 7 ] and Doppler arterial ligation with or without mucopexy [ 8 ].
The concept of minimally invasive surgery is to treat internal haemorrhoids by intervening only above the dentate line, which limits postoperative pain. The use of a radiofrequency current in the treatment of haemorrhoidal disease is an innovative technique.
