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Long-term follow-up of Starion™ versus Harmonic Scalpel™ hemorrhoidectomy for grade III and IV hemorrhoids

DC Field Value Language
dc.contributor.authorKim, JH-
dc.contributor.authorKim, DH-
dc.contributor.authorLee, YP-
dc.contributor.authorSuh, KW-
dc.date.accessioned2020-11-17T05:25:15Z-
dc.date.available2020-11-17T05:25:15Z-
dc.date.issued2019-
dc.identifier.issn1015-9584-
dc.identifier.urihttp://repository.ajou.ac.kr/handle/201003/19041-
dc.description.abstractBACKGROUND: This study represented an effort to design an alternative to Harmonic Scalpel with the same effectiveness but at a lower cost. The concomitant use of Starion and Harmonic Scalpel had been evaluated to determine the differences in terms of the effectiveness immediately after the operation and 3 years post-operatively.
METHODS: 114 patients in the SH group (Starion hemorrhoidectomy) and 107 patients in the HSH group (Harmonic Scalpel) were contacted for cumulative inspection 1 week, 4 weeks, and 3 years post-operatively to check for the recurrence rate.
RESULTS: No significant difference in the pain score was observed at post-operative week 1, with the SH group scoring 2.08 +/- 0.96 and the HSH group scoring 2.29 +/- 1.00 (p = 0.112). No significant difference in patient satisfaction was observed at post-operative week 4, with the SH group scoring 8.63 +/- 1.28 and the HSH group scoring 8.60 +/- 1.32 (p = 0.847). No significant difference in wound healing was observed, with the SH group showing 18.24 +/- 3.13 days and the HSH group showing 18.21 +/- 2.96 days (p = 0.943). The post-operative recurrence rate was 3.5% (4/114) in the SH group at the 3-year follow-up compared to 4.7% (5/107) in the HSH group without any statistically significant difference (p = 0.662).
CONCLUSIONS: Starion was a safe, rapid, and effective method for the treatment of Grade III or IV hemorrhoids.
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dc.language.isoen-
dc.subject.MESHAdult-
dc.subject.MESHCost-Benefit Analysis-
dc.subject.MESHFemale-
dc.subject.MESHFollow-Up Studies-
dc.subject.MESHHemorrhoidectomy / instrumentation-
dc.subject.MESHHemorrhoids / surgery-
dc.subject.MESHHumans-
dc.subject.MESHLaser Therapy / economics-
dc.subject.MESHLaser Therapy / instrumentation-
dc.subject.MESHMale-
dc.subject.MESHMiddle Aged-
dc.subject.MESHPain, Postoperative / prevention & control-
dc.subject.MESHPatient Satisfaction-
dc.subject.MESHPostoperative Complications / prevention & control-
dc.subject.MESHPostoperative Period-
dc.subject.MESHRecurrence-
dc.subject.MESHSeverity of Illness Index-
dc.subject.MESHSurgical Instruments / economics-
dc.subject.MESHTime Factors-
dc.subject.MESHTreatment Outcome-
dc.titleLong-term follow-up of Starion™ versus Harmonic Scalpel™ hemorrhoidectomy for grade III and IV hemorrhoids-
dc.typeArticle-
dc.identifier.pmid29804709-
dc.subject.keywordHarmonic Scalpel™-
dc.subject.keywordHemorrhoidectomy-
dc.subject.keywordHemorrhoids-
dc.subject.keywordStarion™-
dc.contributor.affiliatedAuthor김, 주형-
dc.contributor.affiliatedAuthor서, 광욱-
dc.type.localJournal Papers-
dc.identifier.doi10.1016/j.asjsur.2018.05.002-
dc.citation.titleAsian journal of surgery-
dc.citation.volume42-
dc.citation.number1-
dc.citation.date2019-
dc.citation.startPage367-
dc.citation.endPage372-
dc.identifier.bibliographicCitationAsian journal of surgery, 42(1). : 367-372, 2019-
dc.embargo.liftdate9999-12-31-
dc.embargo.terms9999-12-31-
dc.identifier.eissn0219-3108-
dc.relation.journalidJ010159584-
Appears in Collections:
Journal Papers > Research Organization > Ajou Medical Research Collaborating Center
Journal Papers > School of Medicine / Graduate School of Medicine > Surgery
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