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Radiofrequency Surgery

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1. Comparative effectiveness of endovenous radiofrequency ablation versus conventional surgery for symptomatic varicose veins: a review of reviews

Comparative effectiveness of endovenous radiofrequency ablation versus conventional surgery for symptomatic varicose veins: a review of reviews Comparative effectiveness of endovenous radiofrequency ablation versus conventional surgery for symptomatic varicose veins: a review of reviews Comparative effectiveness of endovenous radiofrequency ablation versus conventional surgery for symptomatic varicose veins: a review of reviews HAYES, Inc Record Status This is a bibliographic record (...) of a published health technology assessment. No evaluation of the quality of this assessment has been made for the HTA database. Citation HAYES, Inc. Comparative effectiveness of endovenous radiofrequency ablation versus conventional surgery for symptomatic varicose veins: a review of reviews. Lansdale: HAYES, Inc. Directory Publication. 2017 Authors' conclusions Health Problem: Varicose veins, also known as varicosities, are a common manifestation of chronic venous insufficiency (CVI), a category of chronic

2017 Health Technology Assessment (HTA) Database.

2. The potential role of hyaluronic acid in postoperative radiofrequency surgery for chronic inferior turbinate hypertrophy. (PubMed)

The potential role of hyaluronic acid in postoperative radiofrequency surgery for chronic inferior turbinate hypertrophy. We prospectively evaluated the efficacy of hyaluronic acid (HA) as an adjuvant treatment to hasten the improvement of nasal respiration and to minimize patients' discomfort in the postoperative radiofrequency volumetric tissue reduction (RFVTR) of inferior turbinates.We enrolled 57 patients randomly assigned into two groups, HA (22 patients) and saline group (35 patients (...) ), becoming similar to the control group at the 4th week (p = ns). Since the first visit the HA group also showed significantly lower crust score than the saline group (p < 0.05), and there was no crust found in either group at the last visit. The compliance to treatment was similar in both groups.The results of this prospective study suggest a role of HA as a supportive treatment for faster improvement of nasal respiration, also minimizing patients' discomfort in postoperative nasal surgery, promoting

2019 American journal of rhinology & allergy Controlled trial quality: uncertain

3. Endovenous ablation (radiofrequency and laser) and foam sclerotherapy versus open surgery for great saphenous vein varices. (PubMed)

Endovenous ablation (radiofrequency and laser) and foam sclerotherapy versus open surgery for great saphenous vein varices. Minimally invasive techniques to treat great saphenous varicose veins include ultrasound-guided foam sclerotherapy (UGFS), radiofrequency ablation (RFA) and endovenous laser therapy (EVLT). Compared with flush saphenofemoral ligation with stripping, also referred to as open surgery or high ligation and stripping (HL/S), proposed benefits include fewer complications (...) , quicker return to work, improved quality of life (QoL) scores, reduced need for general anaesthesia and equivalent recurrence rates. This is an update of a review first published in 2011.To determine whether endovenous ablation (radiofrequency and laser) and foam sclerotherapy have any advantages or disadvantages in comparison with open surgical saphenofemoral ligation and stripping of great saphenous vein varices.For this update the Cochrane Peripheral Vascular Diseases Group Trials Search Co

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2014 Cochrane

4. Radiofrequency treatment for haemorrhoids

was reported in 12% (29/240) of patients in a case series of 240 patients. The pain intensity was scored 1 to 2 on the visual analogue scale and the patients were treated with analgesics. Anal pain (not further described) was reported in 7% (2/28) of patients who had radiofrequency treatment and 50% (16/32) of patients who had rubber band ligation in an RCT of 60 patients (p<0.05). Pain was reported by all patients in a case series of 50 patients; this subsided within 10 days after surgery in 43 patients (...) Radiofrequency treatment for haemorrhoids Radiofrequency treatment for haemorrhoids Radiofrequency treatment for haemorrhoids Interventional procedures guidance Published: 23 August 2017 nice.org.uk/guidance/ipg589 Y Y our responsibility our responsibility This guidance represents the view of NICE, arrived at after careful consideration of the evidence available. When exercising their judgement, healthcare professionals are expected to take this guidance fully into account. However

2017 National Institute for Health and Clinical Excellence - Interventional Procedures

5. Efficacy and safety of radiofrequency ablation versus minimally invasive liver surgery for small hepatocellular carcinoma: a systematic review and meta-analysis. (PubMed)

Efficacy and safety of radiofrequency ablation versus minimally invasive liver surgery for small hepatocellular carcinoma: a systematic review and meta-analysis. The aim of this study was to compare radiofrequency ablation (RFA) with minimally invasive liver surgery (MIS) in the treatment of small hepatocellular carcinoma (SHCC) and to assess short-term and long-term clinical outcomes.PubMed, Embase, Cochrane Library, Web of science, and CBM were systematically searched for articles from

2019 Surgical endoscopy

6. Radiofrequency ablation of the cavotricuspid isthmus for management of atrial flutter in patients with congenital heart disease after tricuspid valve surgery: A single Center experience. (PubMed)

Radiofrequency ablation of the cavotricuspid isthmus for management of atrial flutter in patients with congenital heart disease after tricuspid valve surgery: A single Center experience. Typical atrial flutter involving the cavotricuspid isthmus (CTI) is the most common reentrant arrhythmia in congenital heart disease (CHD) and ablation is effective in its management. However, CHD patients often require surgical interventions on their tricuspid valve that utilize prosthetic material making CTI (...) of arrhythmia recurrence on monitoring or related symptoms.Sixteen patients met the inclusion criteria. Twelve (75%) patients had Ebstein's anomaly, 14 (88%) patients had a prosthetic tricuspid valve and 2 (12%) patients had annuloplasty ring. Acute success was achieved in all cases with no complications. Radiofrequency ablation was required on the ventricular side in 9 (56%) patients. In one case, ablation in the small cardiac vein was required. All patients remained free from atrial flutter during 18

2019 Heart Rhythm

7. Effect of Microvascular Invasion Risk on Early Recurrence of Hepatocellular Carcinoma After Surgery and Radiofrequency Ablation. (PubMed)

Effect of Microvascular Invasion Risk on Early Recurrence of Hepatocellular Carcinoma After Surgery and Radiofrequency Ablation. We compared surgical resection (SR) and radiofrequency ablation (RFA) as first-line treatment in patients with hepatocellular carcinoma (HCC) based on the risk of microvascular invasion (MVI).The best curative treatment modality between SR and RFA in patients with HCC with MVI remains unclear.Data from 2 academic cancer center-based cohorts of patients with a single

2019 Annals of Surgery

8. Iterative treatment with surgery and radiofrequency ablation of uveal melanoma liver metastasis: Retrospective analysis of a series of very long-term survivors. (PubMed)

Iterative treatment with surgery and radiofrequency ablation of uveal melanoma liver metastasis: Retrospective analysis of a series of very long-term survivors. After treatment of primary ocular uveal melanoma (UM), up to 50% of patients will develop metastases, mostly in the liver. Systemic treatments do not provide any overall survival benefit for these patients and surgery remains the most effective therapy for selected patients. Radiofrequency ablation (RFA) alone or in combination (...) with surgery is frequently used to spare hepatic parenchyma. When patients relapse after treatment of their first metastases, and when the liver recurrence is limited, new local liver treatment is questionable.A total of 14 patients with liver metastases from uveal melanoma (LMUM) were retrospectively evaluated. All patients had a complete first liver resection and a second treatment with RFA. Overall survival, recurrence-free interval after the first and the second treatment was evaluated.Treatment

2019 European Journal of Surgical Oncology

9. Combination of Pulsed Radiofrequency with Continuous Radiofrequency Thermocoagulation at Low Temperature Improves Efficacy and Safety in V2/V3 Primary Trigeminal Neuralgia

January 2014 and December 2015 and randomly assigned to 2 groups differentiated by therapeutic method: CRF (CRF group, n = 40) and PRF + CRF (PCRF group, n = 40). Radiofrequency therapy was performed under the guidance of CT. Follow-up measures assessed preoperative conditions, pain remission, complications and side effects, recovery time, and recurrence rate over the 2 years following the surgery.The Visual Analog Scale (VAS) scores decreased in both groups after surgery. After one month (...) Combination of Pulsed Radiofrequency with Continuous Radiofrequency Thermocoagulation at Low Temperature Improves Efficacy and Safety in V2/V3 Primary Trigeminal Neuralgia Primary trigeminal neuralgia (TN) is a common clinical refractory neuralgia. Severe pain is experienced during episodes, severely impacting the patient's quality of life. Long-term suffering from the disease can lead to anxiety, depression, and even suicide. The pathological processes involved in TN are complex

2018 EvidenceUpdates

10. Handheld radiofrequency spectroscopy for intraoperative margin assessment during breast-conserving surgery

Handheld radiofrequency spectroscopy for intraoperative margin assessment during breast-conserving surgery Handheld radiofrequency spectroscopy for intraoperative margin assessment during breast-conserving surgery Handheld radiofrequency spectroscopy for intraoperative margin assessment during breast-conserving surgery BlueCross BlueShield Association Record Status This is a bibliographic record of a published health technology assessment. No evaluation of the quality of this assessment has (...) been made for the HTA database. Citation BlueCross BlueShield Association. Handheld radiofrequency spectroscopy for intraoperative margin assessment during breast-conserving surgery. Chicago: BlueCross BlueShield Association (BCBS). TEC Assessment 28(4). 2013 Authors' objectives The purpose of this Assessment is to evaluate the evidence regarding the use of handheld radiofrequency spectroscopy for intraoperative margin assessment (i.e., MarginProbe®) in improving health outcomes for patients

2013 Health Technology Assessment (HTA) Database.

11. Novel treatment strategy with radiofrequency ablation and surgery for pregnant patients with hepatocellular carcinoma: a case report (PubMed)

Novel treatment strategy with radiofrequency ablation and surgery for pregnant patients with hepatocellular carcinoma: a case report Hepatocellular carcinoma (HCC) during pregnancy is rare, with a poor prognosis. Recently, however, increasing resection rates have improved survival rate. Currently, various surgeries are safely performed after the second trimester and termination of pregnancy is not always necessary. However, surgery is sometimes limited by gestational age or the patient's (...) will. When patients with HCC refuse surgery during pregnancy, we face specific problems with respect to curability and fetal life. Meanwhile, previous studies have revealed radiofrequency ablation (RFA) as a possible alternative to surgery for the treatment of early HCC and shown its favorable local control rate for advanced HCC. However, no case of HCC treated with RFA during pregnancy has yet been reported.Here, we present the case of a 33-year-old woman, who was a hepatitis B virus carrier

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2018 Surgical Case Reports

12. Radiofrequency ablation of stage IA non–small cell lung cancer in patients ineligible for surgery: results of a prospective multicenter phase II trial (PubMed)

Radiofrequency ablation of stage IA non–small cell lung cancer in patients ineligible for surgery: results of a prospective multicenter phase II trial A prospective multicenter phase II trial to evaluate the survival outcomes of percutaneous radiofrequency ablation (RFA) for patients with stage IA non-small cell lung cancer (NSCLC), ineligible for surgery.Patients with a biopsy-proven stage IA NSCLC, staging established by a positron emission tomography-computed tomography (PET-CT), were

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2018 Journal of cardiothoracic surgery

13. Radiofrequency ablation versus surgery for perivascular hepatocellular carcinoma: propensity score analyses of long-term outcomes. (PubMed)

Radiofrequency ablation versus surgery for perivascular hepatocellular carcinoma: propensity score analyses of long-term outcomes. The therapeutic outcomes of surgical resection (SR) or radiofrequency ablation (RFA) for perivascular hepatocellular carcinoma (HCC) have not been compared. The aim of this study was to compare SR with RFA as first-line treatment in patients with perivascular HCC and to evaluate the long-term outcomes of both therapies.This retrospective study was approved (...) and OS were significantly different according to the treatment modality in patients with periportal HCCs (p = 0.004 and p <0.001, respectively).In patients with small perivascular HCCs, SR provided better long-term tumor control and OS than RFA, particularly for periportal tumors.Surgical resection and radiofrequency ablation are both treatment options for perivascular hepatocellular carcinoma. We compared outcomes in patients treated with either method. Surgical resection provided better long-term

2018 Journal of Hepatology

14. Effect of intralipid on myocardial injury during valve replacement surgery with concomitant radiofrequency ablation: A randomized controlled trial. (PubMed)

Effect of intralipid on myocardial injury during valve replacement surgery with concomitant radiofrequency ablation: A randomized controlled trial. This study aimed to evaluate the effect of intralipid postconditioning (ILPC) on myocardial damage in patients undergoing valve replacement surgery with concomitant radiofrequency ablation (RFA) for atrial fibrillation (AF).Randomized patient and assessor-blind controlled trial conducted in adult patients undergoing valve replacement surgery (...) with concomitant RFA. Sixty-nine patients were randomly assigned to ILPC group (n = 34) or control group (n = 35): ILPC group received an intravenous infusion of 20% intralipid (2 mL/kg) just 10 minutes before aortic cross-unclamping, and control group received an equivalent volume of normal saline. Serum cardiac troponin-T (cTnT) and creatine kinase-MB (CK-MB) was measured before surgery and at 4, 12, 24, 48, and 72 hours after surgery. The primary endpoints were the 72-hour area under the curve (AUC

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2018 Medicine Controlled trial quality: uncertain

15. Attitudes to local anaesthesia in Radiofrequency thermotherapy (RFTT) sleep surgery: Our experience in a single centre with 42 adult patients. (PubMed)

Attitudes to local anaesthesia in Radiofrequency thermotherapy (RFTT) sleep surgery: Our experience in a single centre with 42 adult patients. 29856532 2019 03 01 1749-4486 43 5 2018 10 Clinical otolaryngology : official journal of ENT-UK ; official journal of Netherlands Society for Oto-Rhino-Laryngology & Cervico-Facial Surgery Clin Otolaryngol Attitudes to local anaesthesia in radiofrequency thermotherapy sleep surgery: Our experience in a single centre with 42 adult patients. 1401-1402

2018 Clinical Otolaryngology

16. Radiofrequency ablation for symptomatic interdigital (Morton's) neuroma

efficacy outcomes as relief or reduction of pain and avoiding the need for surgery. 5 5 Safety Safety This section describes safety outcomes from the published literature that the Committee considered as part of the evidence about this procedure. For more detailed information on the evidence, see the interventional procedure overview. 5.1 Superficial cellulitis 5 days after radiofrequency ablation treatment was reported in 1 patient in a case series of 29 patients. This was treated with a course (...) Radiofrequency ablation for symptomatic interdigital (Morton's) neuroma Radiofrequency ablation for symptomatic Radiofrequency ablation for symptomatic interdigital (Morton interdigital (Morton’s) neuroma ’s) neuroma Interventional procedures guidance Published: 16 December 2015 nice.org.uk/guidance/ipg539 Y Y our responsibility our responsibility This guidance represents the view of NICE, arrived at after careful consideration of the evidence available. When exercising their judgement

2016 National Institute for Health and Clinical Excellence - Interventional Procedures

17. Percutaneous intradiscal radiofrequency treatment of the intervertebral disc nucleus for low back pain

Percutaneous intradiscal radiofrequency treatment of the intervertebral disc nucleus may be used for low back pain caused by contained herniated discs that has not responded to conservative treatment, when open surgery is not suitable. 3 3 The procedure The procedure 3.1 Percutaneous intradiscal radiofrequency treatment aims to enhance the structural integrity of the intervertebral disc. It aims to reduce low back pain by using radiofrequency heat energy to alter the biomechanics of the intervertebral disc (...) Percutaneous intradiscal radiofrequency treatment of the intervertebral disc nucleus for low back pain P Percutaneous intr ercutaneous intradiscal r adiscal radiofrequency adiofrequency treatment of the interv treatment of the intervertebr ertebral disc nucleus for al disc nucleus for low back pain low back pain Interventional procedures guidance Published: 27 January 2016 nice.org.uk/guidance/ipg545 Y Y our responsibility our responsibility This guidance represents the view of NICE, arrived

2016 National Institute for Health and Clinical Excellence - Interventional Procedures

18. Ultrasound-guided percutaneous radiofrequency ablation for benign thyroid nodules

or surgery. More recently, other approaches that are less invasive than conventional surgery have been introduced, such as ethanol ablation and percutaneous laser ablation. 3 3 The procedure The procedure 3.1 Radiofrequency ablation is a minimally invasive technique that aims to reduce symptoms and improve cosmetic appearance, while preserving thyroid function, and with fewer complications than surgery. 3.2 Before treatment, the thyroid nodule is confirmed as benign, typically by the use of 2 fine-needle (...) of the procedure. Transient hoarseness was reported in less than 1% (1/200) of patients treated by RFA and in 1.5% (3/200) of patients treated by surgery in the non-randomised comparative study of 400 patients. Voice change was reported in 1% (15/1459) of patients in the case series of 1,459 patients; all patients recovered completely, except for 2 patients who were lost to follow-up. 5.4 Brachial plexus injury was reported in 1 patient in the case series of Ultrasound-guided percutaneous radiofrequency

2016 National Institute for Health and Clinical Excellence - Interventional Procedures

19. TactiCath Quartz catheter for percutaneous radiofrequency ablation in atrial fibrillation

anaesthesia according to patient or centre preference. T actiCath Quartz and its additional components are indicated for catheter-based cardiac ablation when used with a compatible radiofrequency generator, and also for cardiac electrophysiological mapping. Contraindications for use are similar to other cardiac ablation catheters, and include: cardiac surgery within previous 4 weeks; artificial heart valves; active systemic infection; use in coronary vasculature; myxoma (a heart tumour) or intracardiac (...) TactiCath Quartz catheter for percutaneous radiofrequency ablation in atrial fibrillation T T actiCath Quartz catheter for percutaneous actiCath Quartz catheter for percutaneous r radiofrequency ablation in atrial fibrillation adiofrequency ablation in atrial fibrillation Medtech innovation briefing Published: 23 March 2016 nice.org.uk/guidance/mib60 pathways Summary Summary T actiCath Quartz is a single-use cardiac ablation catheter with a deflectable distal section and a contact force sensor

2016 National Institute for Health and Clinical Excellence - Advice

20. ThermoCool SmartTouch catheter for percutaneous radiofrequency ablation in atrial fibrillation

ThermoCool SmartTouch catheter for percutaneous radiofrequency ablation in atrial fibrillation ThermoCool SmartT ThermoCool SmartT ouch catheter for ouch catheter for percutaneous r percutaneous radiofrequency ablation in atrial adiofrequency ablation in atrial fibrillation fibrillation Medtech innovation briefing Published: 23 March 2016 nice.org.uk/guidance/mib61 pathways Summary Summary ThermoCool SmartT ouch is a single-use cardiac ablation catheter with a deflectable distal section (...) and a contact force sensor at the tip. It is used to treat cardiac arrhythmias, such as atrial fibrillation, by mapping the electrical activity of the heart, delivering radiofrequency energy during ablation procedures, and confirming electrical isolation. ThermoCool SmartT ouch differs from standard ablation catheters by providing a real-time measurement of the contact force applied by the catheter tip to the heart wall during the ablation procedure. This briefing includes 10 studies of mixed quality

2016 National Institute for Health and Clinical Excellence - Advice

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