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Search Results: 1 - 10 of 3242 matches for " rubber band ligation "
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Comparitive Study of Multiple Versus Single Rubber Band Ligation for internet Hermorrhoids
Nasir A.Wani, F.Q.Parray
JK Science : Journal of Medical Education & Research , 2003,
Abstract: Rubber band ligation for hemorrhoids was used for treating 1500 consecutive patients affected by 2ndand 3rd degree hemorrhoids over a period of 3 years (1999-2001). The patients were divided into 2groups: Group 1,710 patients treated by the method of "multiple ligations"(2 or 3) in a single session andGroup II, 790 patients treated by the method of "single Ligation" at one time over the same period. Postproceduralresults were satisfactory in 82% patients in Group I and 90% patients in Group II. Complicationobserved in Group II were significantly lower than Group 1. Thus, we conclude that rubber bandligation is a better modality oftreatment for internal hemorrhoids ifit is made with one ligation at a time,repeating the procedure every 3 weeks.
Tratamento da doen?a hemorroidária com ligadura elástica: estudo prospectivo com 59 pacientes
Motta, Marcel Machado da;Silva Júnior, José Batista da;Santana, Larice Oliveira;Ferdandes, Igor Lima;Moura, Alex Rodrigues;Prudente, Ana Carolina Lisboa;Torres Neto, Juvenal da Rocha;
Revista Brasileira de Coloproctologia , 2011, DOI: 10.1590/S0101-98802011000200005
Abstract: rubber band ligation (rb) is considered a minimally invasive method for the treatment of hemorrhoidal disease (hd) and has advantages in relation to hemorrhoidectomy whereby: simplicity of execution, outpatient realization and no need of anesthesia. it is an effective method, especially in the hd grade ii. however, shows complications, and the most frequents are: anal pain, tenesmus, hematochezia and urinary retention. some studies have shown severe complications as major bleeding that needs blood transfusion. thus, this study evaluated the effectiveness and the morbidity of the treatment of hd by the method of rb. it was a prospective study with 59 patients. five (8,5%) patients had hd graded in the first degree, 33 (55,9%) in the second degree and 21 (35,6%) in the third. all patients were submitted to at least two sessions. in the 135 sessions performed, we found: hematochezia in 62 (45.9%), severe pain in 39 (28.9%), vagal symptoms in 10 (7.4%) and pseudostrangulation in 1 (0.7%) session. the cure rate of hemorrhoidal prolapse among patients with hd grade ii was 87.9% and among those with hd grade iii, 76.2%. the treatment of hd by the method of rb proved to be safe and with good cure rate.
Rubber-band ligation for hemorrhoids in a Colorectal Unit: A prospective study
Bernal,J. C.; Enguix,M.; López García,J.; García Romero,J.; Trullenque Peris,R.;
Revista Espa?ola de Enfermedades Digestivas , 2005, DOI: 10.4321/S1130-01082005000100005
Abstract: introduction: nowadays the rubber band ligation technique is one of the most worldwide used and effective treatment of the hemorrhoidal disease. objectives: our study has as a goal to analyze the success or failure of the rubber band ligation in hemorrhoids grade 1,2 and 3, to analyze their complications and to see if all symptomatic hemorrhoids should be treated with ligation at the first visit. patients and method: a prospective and descriptive study was designed for patients who came to the colorectal unit with hemorrhoidal disease from september 1997 to december 2001. first, second and third degree patients were treated according to the classification of hemorrhoids of st. mark's hospital. the technique of ligation after barron was applied. results: from 261 patients with a mean age of 48.3 (range: 16-86), 181 (99 m/82 w) have been treated with barron's method and 80 with rich fiber diet and water. rectal bleeding was the most common symptom (91.16%). anuscopy showed hemorrhoidal disease in all the cases. from 181 patients, 19.33% were hemorrhoids degree i, 51.93% degree ii and 29.83% degree iii. two hundred and eighty-seven ligation sessions were done and the balance of ligations per patient was 2.45 and 1.5 rubber band per session. the 32% of the patients referred pain after ligation. a 13.81% of cases were operated due to persistent rectal bleeding or hemorrhoidal prolapse. conclusions: symptomatic hemorrhoids degree i and ii with a short clinical history should be treated initially with a rich fiber and water diet. the technique of barron is an effective therapy to treat the hemorrhoids degree 1, 2 and in 74% of success in cases with degree 3.
Treatment of the Hemorrhoids and Anal Mucosal Prolapse Using Elastic Band Ligature - Early and Long Term Results
Marta S kowska, Tomasz Ko ciński, Tomasz Wierzbicki, Jacek Hermann, Micha Drews
Polish Journal of Surgery , 2011, DOI: 10.2478/v10035-011-0105-6
Abstract: The aim of the study was to evaluate the results of the treatment of internal hemorrhoids and anal mucosal prolapse using elastic band ligation and to compare this method to chosen surgical procedures. Material and methods. The study included 648 patients (363 males and 285 females). 474 patients were treated using an elastic band ligature and 174 patients underwent surgical hemorrhoidectomy. The average age of the patients in both groups was similar - 49 years. The treatment tolerance was evaluated in the prospective study group. The intensity and duration of pain was assessed on the first and second postoperative day using a Verbal Rating Scale. Results. 86.5% of the patients were cured using Barron's procedure, success rate for second-degree hemorrhoids was 89% and for third degree - 85.2%. Surgical hemorrhoidectomy was effective in 92% of patients. Early failure of elastic ligature was noted in 2.5% of patients. The recurrences of hemorrhoidal symptoms were observed in 11% of Barron's group and in 8% after hemorrhoidectomy. The intensity of pain was much higher among patients after surgical hemorrhoidectomy. The average of the pain score in the 4th hour was 0.3 for the elastic band ligation and 1.4 for the surgical treatment. In the 24th hour - 0.2 and 1.7 respectively. Mean postoperative stay was 3.8 days. Conclusions. Rubber band ligation is highly effective and well tolerated. Relatively minor pain following this procedure is found in only 9.5% of patients. The disadvantages of surgical hemorrhoidectomy are: important postoperative pain and long time of wound healing that impair the recovery to professional activity.
HEMORRHOIDECTOMY VS RUBBER BAND
MUHAMMAD DILAWAIZ,MUHAMMAD ABID BASHIR,ABID RASHID
The Professional Medical Journal , 2011,
Abstract: Objectives: To compare open hemorrhoidectomy and Rubber Band Ligation (RBL) in the management of 2nd and 3rd degree hemorrhoids in terms post operative and hospital stay. Design: Experiential Randomized Control Trial. Setting: Department of surgery, Allied Hospital and Independent University Hospital Faisalabad. Period: Dec 2008 to May 2009. Patients & Methods: 100 consecutive patients with second and third degree hemorrhoids were randomly divided into two groups. Group A (50 patients) were operated by open hemorrhoidectomy (Milligan morgan technique) while in group B (50 patients) rubber band ligations was performed. Open hemorrhoidectomy was performed underspinal anesthesia while rubber bands were applied with local xylocaine gel using Barron’s rubber band ligator. All the three hemorrhoids wereligated in single session. Results: Average hospital stay was 24 hours in patient operated by open hemorrhoidectomy as compared to one hour in rubber band ligation. 60% patients in group A developed moderate to severe pain requiring I/V morphine derivatives while 40% developed mild pain and treated with NSAIDS. In group B only 20% patients developed moderate pain and were dealt with I/M diclofenac sodium. Eightyeight percent patients in group A and 60% patients in group B developed mild to moderate bleeding in first postoperative week, which was self limiting. 6 patients developed severe bleeding after hemorrhoidectomy requiring blood transfusion. During six month follow up, two patients (4%) of open hemorrhoidectomy and 3 patients (6%) of RBL presented with recurrence and respective procedures were repeated. Conclusions: Rubber band ligation is safe, quick, economical and effective method for the treatment of 2nd and 3rd degree hemorrhoids.
Infrared coagulation versus rubber band ligation in early stage hemorrhoids
Gupta, P.J.;
Brazilian Journal of Medical and Biological Research , 2003, DOI: 10.1590/S0100-879X2003001000022
Abstract: the ideal therapy for early stages of hemorrhoids is always debated. some are more effective but are more painful, others are less painful but their efficacy is also lower. thus, comfort or efficacy is a major concern. in the present randomized study, a comparison is made between infrared coagulation and rubber band ligation in terms of effectiveness and discomfort. one hundred patients with second degree bleeding piles were randomized prospectively to either rubber band ligation (n = 54) or infrared coagulation (n = 46). parameters measured included postoperative discomfort and pain, time to return to work, relief in incidence of bleeding, and recurrence rate. the mean age was 38 years (range 19-68 years). the mean duration of disease was 17.5 months (range 12 to 34 months). the number of male patients was double that of females. postoperative pain during the first week was more intense in the band ligation group (2-5 vs 0-3 on a visual analogue scale). post-defecation pain was more intense with band ligation and so was rectal tenesmus (p = 0.0059). the patients in the infrared coagulation group resumed their duties earlier (2 vs 4 days, p = 0.03), but also had a higher recurrence or failure rate (p = 0.03). thus, we conclude that band ligation, although more effective in controlling symptoms and obliterating hemorrhoids, is associated with more pain and discomfort to the patient. as infrared coagulation can be conveniently repeated in case of recurrence, it could be considered to be a suitable alternative office procedure for the treatment of early stage hemorrhoids.
Infrared coagulation versus rubber band ligation in early stage hemorrhoids
Gupta P.J.
Brazilian Journal of Medical and Biological Research , 2003,
Abstract: The ideal therapy for early stages of hemorrhoids is always debated. Some are more effective but are more painful, others are less painful but their efficacy is also lower. Thus, comfort or efficacy is a major concern. In the present randomized study, a comparison is made between infrared coagulation and rubber band ligation in terms of effectiveness and discomfort. One hundred patients with second degree bleeding piles were randomized prospectively to either rubber band ligation (N = 54) or infrared coagulation (N = 46). Parameters measured included postoperative discomfort and pain, time to return to work, relief in incidence of bleeding, and recurrence rate. The mean age was 38 years (range 19-68 years). The mean duration of disease was 17.5 months (range 12 to 34 months). The number of male patients was double that of females. Postoperative pain during the first week was more intense in the band ligation group (2-5 vs 0-3 on a visual analogue scale). Post-defecation pain was more intense with band ligation and so was rectal tenesmus (P = 0.0059). The patients in the infrared coagulation group resumed their duties earlier (2 vs 4 days, P = 0.03), but also had a higher recurrence or failure rate (P = 0.03). Thus, we conclude that band ligation, although more effective in controlling symptoms and obliterating hemorrhoids, is associated with more pain and discomfort to the patient. As infrared coagulation can be conveniently repeated in case of recurrence, it could be considered to be a suitable alternative office procedure for the treatment of early stage hemorrhoids.
The HubBLe trial: haemorrhoidal artery ligation (HAL) versus rubber band ligation (RBL) for haemorrhoids
Tiernan Jim,Hind Daniel,Watson Angus,Wailoo Allan J
BMC Gastroenterology , 2012, DOI: 10.1186/1471-230x-12-153
Abstract: Background Haemorrhoids (piles) are a very common condition seen in surgical clinics. After exclusion of more sinister causes of haemorrhoidal symptoms (rectal bleeding, perianal irritation and prolapse), the best option for treatment depends upon persistence and severity of the symptoms. Minor symptoms often respond to conservative treatment such as dietary fibre and reassurance. For more severe symptoms treatment such as rubber band ligation may be therapeutic and is a very commonly performed procedure in the surgical outpatient setting. Surgery is usually reserved for those who have more severe symptoms, as well as those who do not respond to non-operative therapy; surgical techniques include haemorrhoidectomy and haemorrhoidopexy. More recently, haemorrhoidal artery ligation has been introduced as a minimally invasive, non destructive surgical option. There are substantial data in the literature concerning efficacy and safety of 'rubber band ligation including multiple comparisons with other interventions, though there are no studies comparing it to haemorrhoidal artery ligation. A recent overview has been carried out by the National Institute for Health and Clinical Excellence which concludes that current evidence shows haemorrhoidal artery ligation to be a safe alternative to haemorrhoidectomy and haemorrhoidopexy though it also highlights the lack of good quality data as evidence for the advantages of the technique. Methods/design The aim of this study is to establish the clinical effectiveness and cost effectiveness of haemorrhoidal artery ligation compared with conventional rubber band ligation in the treatment of people with symptomatic second or third degree (Grade II or Grade III) haemorrhoids. Design: A multi-centre, parallel group randomised controlled trial. Outcomes: The primary outcome is patient-reported symptom recurrence twelve months following the intervention. Secondary outcome measures relate to symptoms, complications, health resource use, health related quality of life and cost effectiveness following the intervention. Participants: 350 patients with grade II or grade III haemorrhoids will be recruited in surgical departments in up to 14 NHS hospitals. Randomisation: A multi-centre, parallel group randomised controlled trial. Block randomisation by centre will be used, with 175 participants randomised to each group. Discussion The results of the research will help inform future practice for the treatment of grade II and III haemorrhoids. Trial Registration ISRCTN41394716
Hemorroidectomia híbrida: uma nova abordagem no tratamento das hemorróidas mistas
Santos, Haroldo Alfredo;
Revista Brasileira de Coloproctologia , 2006, DOI: 10.1590/S0101-98802006000400002
Abstract: the goal of this work is to present a new mini-invasive approach of the internal and external hemorrhoids treatment, the hybrid hemorrhoidectomy, that consists of an association of the rubber band ligation (rbl) of the internal hemorrhoids with complementary withdraw of the external piles under local anesthesia. in a universe of 326 anal surgeries carried through in proctoclínica in a period of 4 years, a number of 300 patients (92%) had been submitted to mini-invasive procedures (223 (68,40%) had been submitted to rbl as exclusive treatment and 77 (23,60%) to hybrid hemorrhoidectomy) and 26 patients (8%) had been submitted to other surgical procedures (hemorrhoidectomy milligan-morgan, fistulectomy, etc.) the proposal approach allows minimum absenteism to the work, mini-invasivity and low pos-operative morbidity with the advantage of office and outpatient procedures, excellent tolerability and low costs.
Rubber-band ligation for hemorrhoids in a Colorectal Unit: A prospective study Ligadura con banda elástica de las hemorroides en una Unidad de Coloproctología: Estudio prospectivo
J. C. Bernal,M. Enguix,J. López García,J. García Romero
Revista Espa?ola de Enfermedades Digestivas , 2005,
Abstract: Introduction: nowadays the rubber band ligation technique is one of the most worldwide used and effective treatment of the hemorrhoidal disease. Objectives: our study has as a goal to analyze the success or failure of the rubber band ligation in hemorrhoids grade 1,2 and 3, to analyze their complications and to see if all symptomatic hemorrhoids should be treated with ligation at the first visit. Patients and method: a prospective and descriptive study was designed for patients who came to the Colorectal Unit with hemorrhoidal disease from September 1997 to December 2001. First, second and third degree patients were treated according to the classification of hemorrhoids of St. Mark's Hospital. The technique of ligation after Barron was applied. Results: from 261 patients with a mean age of 48.3 (range: 16-86), 181 (99 M/82 W) have been treated with Barron's method and 80 with rich fiber diet and water. Rectal bleeding was the most common symptom (91.16%). Anuscopy showed hemorrhoidal disease in all the cases. From 181 patients, 19.33% were hemorrhoids degree I, 51.93% degree II and 29.83% degree III. Two hundred and eighty-seven ligation sessions were done and the balance of ligations per patient was 2.45 and 1.5 rubber band per session. The 32% of the patients referred pain after ligation. A 13.81% of cases were operated due to persistent rectal bleeding or hemorrhoidal prolapse. Conclusions: symptomatic hemorrhoids degree I and II with a short clinical history should be treated initially with a rich fiber and water diet. The technique of Barron is an effective therapy to treat the hemorrhoids degree 1, 2 and in 74% of success in cases with degree 3. Introducción: la técnica de ligaduras con banda para hemorroides constituye hoy en día uno de los tratamientos más efectivos a nivel mundial. Objetivos: el objetivo de nuestro estudio ha sido valorar el éxito/fracaso terapéutico de las ligaduras en hemorroides grado I-II-III, analizar sus complicaciones y plantear si todas las hemorroides sintomáticas deben ser tratadas con bandas en la primera visita. Pacientes y método: se dise ó un estudio descriptivo prospectivo de los pacientes que acudieron a la Unidad de Coloproctología con patología hemorroidal entre septiembre de 1997 y diciembre de 2001. Se trataron a pacientes con hemorroides grado I, II y III según la clasificación del Hospital de St. Mark's. Se empleó la técnica de ligaduras descrita por Barron. Resultados: doscientos sesenta y un pacientes, con una edad media de 48,3 a os (rango: 16-86), de los cuales 181 (99 V/82 M) han sido tratados según e
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