OUTCOME OF RUBBER BAND LIGATION OF HAEMORRHOIDS USING SUCTION LIGATOR
Abstract
Background: Haemorrhoids are a common surgical problem seen in the outpatient department. Rubber band ligation using suction is an effective treatment for symptomatic haemorrhoids but associated with significant morbidity.This prospective observational study was carried out to assess the efficacy, effectiveness and complications of rubber band ligation performed in outpatient for symptomatic haemorhoids using suction ligator. The results and outcome of procedure performed by the consultants and senior residents were also compared. Methods: 56 consecutive patients with symptomatic haemorrhoids underwent rubber band ligation in the outpatient clinic of the department of general surgery, Pakistan Institute of Medical Sciences. Outcome measures were symptomatic cure i.e. stoppage of bleeding and reduced mucosal prolapse. Complications were categorized as immediate, early (within one week) and late (within 3 months). Results: Symptomatic cure was achieved in 50(89.20%) patients (stoppage of bleeding and reduced mucosal prolapse). Six (10.72%) patients required further banding. Pain (mild to severe) was most common immediate and intermediate complication (14 and 20 patient’s respectively). Conclusion: Rubber band ligation is an effective, outdoor procedure for symptomatic haemorrhoids, but associated with certain degree of morbidity.Keywords: Hemorrhoids, Suction Ligator, Banding.References
Bhatti AA, Ahmed R, Butt MA. Comparative study between sclerotherapy and manual anal dilatation in the management of second-degree hemorrhoids. Pakistan Postgrad Med J 1993; 4 (4): 267-76.
Sheikh AR, Ahmed 1.Comparative study of haemorrhoidectomy with rubber band ligation for second and third degree hemorrhoids Specialist 1995; 12(1): 39-45.
Malik AM, Zafar MR, Abbasi SA. Submucosal closed and open (ligation Excision) hemorrhoidectomy. Pak Armed Forces Med Jour 1947; 02(6-7): 20-2.
Quraishy MS, Idris F, Sultan N. Out Patient treatment of hemorrhoids with electronic coagulator-initial experience with 103 patients. Med Spectrum 1999; 02(6-7): 20-2.
Aftab ML. A comparative analysis of infrared coagulation and injection sclerotherapy as non-operative treatment for the management of hemorrhoids. Biomedica 1997; 13: 70-2.
Aftab ML. Role of photocoagulation in the management of non-prolapsing and early prolapsing hemorrhoids. Annals 1999; 5(3): 310-1.
Muslim A. Non-surgical treatment of hemorrhoids. Specialist 1993; 9(3): 269-72.
Khan AZ, Naqi SA, Gondal KM, Butt HA, Ahmed M. Comparison of band ligation with hemorrhoidectomy in second and early third degree hemorrhoids. Annals 1998; 4(4): 59-61.
Malik SN. Management of prolapsed hemorrhoids. Ann KE Med Coll 1999; 5(2): 114-6.
Chaudhry MR, Ahmed MS, Abbas T. Management of fourth degree hemorrhoids by lateral internal sphinceterotomy, a safe alternative to emergency haemorrhoidectomy. Pakistan J Surg 1996; 12(4): 184-5.
Elvosji SO. Immediate hemorrhoidectomy for thrombosed fourth degree hemorrhoids. JPMA 1994; 44(11): 264-5.
Ho YH, Seow Choen F, Tan M, Leong AFPK. Randomized controlled trial of open and closed haemorrhoidectomy. Br J Surg. 1997; 84:1729-30.
Seow-Choen F. Stapled hemorrhoidectomy. Pain or gain. Br J Surg 2001; (88): 1-3.
Ganio E, Altmare F, Gabrielli F, Milito G, Canuti S. Br J Surg. 2001; (88) 669-74.
Hancock BD. How do surgeons treat hemorrhoids? Ann R Coll of Surg Engl 1982; 64:397-400.
Snook S, Henry MM, Swash M.Faecal incontinence after anal dilation Br.J Surg.1984; 71:617-8.
Ahmed R, Khan MH, Rashid A, Management of haemorrhoids by rubber band-ligation. Specialist 1995; 12(1): 79-81.
Aftab ML. Rubber band ligation in the management of haemorrhoids. Pakistan J Surg 1995; 11 (4) 219-20.
Khan SA, Kazmi SAR, Qureshi MI Chaudhry MR, Shah STA. Experience of rubber band ligation with suction gun in the management of haemorrhoids at Mayo Hospital, Lahore. Annals of KEMC 1998; 4(4): 70-1.
Murie JA Machkenzia J, Sim AJW. Comparison of rubber band ligation and hemorrhoidectomy for second and third degree hemorrhoids: a prospective clinical trial. Br J Surg 67:786-8.
Poen AC, Felt BRJ Cuesta M, Deville W, Meuwissen SG. A randomized controlled trial of RBL Vs infrared coagulation in the treatment of internal hemorrhoid Euro J of Gastroenterology 2000, 12: 535-9.
Kumar N, Paulvanan S, Billings PJ. Rubber band ligation of hemorrhoids in the out patient clinic. Ann R Coll Surg Engl 2002; 84: 172-74
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