Efficacy and Complication of Rubber Band Ligation of Hemorrhoids in Out Patient Clinic in Al-Muthanna Province
DOI:
https://doi.org/10.61841/cv81v563Keywords:
Hemorrhoids, Rubber Band Ligation, Out Patient ClinicsAbstract
Introduction: The rubber band ligation nowadays is one of the most effective worldwide techniques used for the treatment of hemorrhoids. The objective of this study is to determine the outcome of the endoscopic band ligation in patients with internal hemorrhoids.
Patients and Methods: This observational and prospective study was done for 159 patients with 1st, 1st,2nd,3rd,degree hemorrhoids between 1st June 2015 and 31st June 2018 in outpatient clinics in Almuthanna province. Any complicated piles, such as those with fistula, fissure, and malignancy, were excluded. Our patients followed up in one month, six months, and one year and then yearly by telephone.
Result: From 159 patients with a mean age of 44.28 (range 18-89), recurrence occurs in 21 (13.2) cases. postoperative bleeding in 4 cases (2.5%) and pain in 7 cases (4.4), vasovagal syncope in 4 cases (2.5%), and infection in 2 cases (1.3%).
Conclusion: Rubber band ligation is an effective, outdoor procedure for symptomatic 3rd degree hemorrhoids with acceptable morbidity
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[1] Linares Santiago E, Gómez Parra M, Mendoza FJ, Pellicer FJ. Eficacia del deltratamientohemorroidalmedianteligadura con banda elástica y la fotocoagulación infrarroja. Rev EspEnferm Dig 2001; 93: 238-42.
[2] Hussain JN. Hemorrhoids. Prim Care 1999; 26: 25-51
[3] Loder PB, Kamm MA, Nicholls RJ, Phillips RK. Hemorrhoids: pathology, pathophysiology, and etiology. Br J Surg 1994;81:946–54
[4] Yang HK (.2014) Nonsurgical treatment of hemorrhoids. Hemorrhoids 47–63
[5] Giamundo P, Salfi R, Geraci M, Tibaldi L, Murru L, Valente M (2011) The hemorrhoid laser procedure technique vs. rubber band ligation: a randomized trial comparing two mini-invasive treatments for second- and third-degree hemorrhoids. Dis Colon Rectum 54(6):693–8
[6] Linares S, Gómez P, Mendoza O, Pellicer B, Herrerías G (2001) Effectiveness of hemorrhoidal treatment by rubber band ligation and infrared photocoagulation. EspEnferm Dig 93(4):238–47
[7] Katerina K. (2003). Rubberband ligation of KaterinaK(2003)Rubberbandligationofhemorrhoids—anoffice procedure. Ann Gastroenterol 16(2):159–161
[8] Bernal J, Enguix M, López J, García J, Trullenque R (2003) Rubber-band ligation for hemorrhoids in a colorectal unit. A prospective study. Rev EspEnferm Dig 96:38–45
[9] Forlini A, Manzelli A, Quaresima S, Forlini M (2009) Long-term result after rubber band ligation for
haemorrhoids. J Colorectal Dis 24(9):1007–10
[10] Ayman M, Amir A, Waleed H, Elyamani M, Tito A, Hosam E (2008) Rubber band ligation for 750 cases
of symptomatic hemorrhoids out of 2200 of2200cases.World J Gastroenterol 14(42):6525–6530
[11] Sim H, Tan K, Poon P, Cheng A, Mak K (2009) Life-threatening perineal sepsis after rubber band ligation
of hemorrhoids. Tech Coloproctol 13(2):161–14.
[12] Gencosmanoglu R, Sad O, Koc D, Inceoglu R. Hemorrhoidectomy: open or closed technique? A
prospective, randomized clinical trial. Dis Colon Rectum 2002;45:70–754
[13] Murie JA, Mackenzie I, Sim AJ (1980) Comparison of rubber band ligation and hemorrhoidectomy for
Second and third degree hemorrhoids: a prospective clinical trial. BJS 67(11):786–788
[14] Vassilios A, Komborozos V, Skrekas G, Pissiotis C (2000) Rubber band ligation of symptomatic internal
Hemorrhoids: results of 500 cases. Dig Surg 17:71–76
[15] Gupta P (2004) Radiofrequency coagulation versus rubber band ligation in early hemorrhoids: pain versus gain. Medicina (Kaunas) 40:232–23
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