Assessment of cryohaemorrhoidectomy as an alternative method for operative haemorrhoidectomy

ABSTRACT

This study was carried out on 50 patients with second and third degree piles, 25 patients were treated with ligation-excision operation and 25 patients by cryotherapy, A follow-up period of six weeks to assess both procedures led us to conclude that cryohaemorrhoidectomy is a painless procedure, characterised by a smoother post-operative course which allowed immediate ambulation. It is an effective alternative to ligation and excision in patients with bleeding internal haemorrhoids with no skin covered component and in those who refuse surgical excision, or are unfit for anaesthesia. Cryohaemorrhoidectomy is, however, unsuitable for patients whose main symptom is prolapse as it is followed by a higher incidence of residual piles