Prospective Case Series of a Novel Minimally Invasive Bipolar Coagulation System in the Treatment of Grade I and II Internal Hemorrhoids

2016 ◽  
Vol 23 (6) ◽  
pp. 581-585 ◽  
Author(s):  
Benjamin P. Crawshaw ◽  
Andrew J. Russ ◽  
Bridget O. Ermlich ◽  
Conor P. Delaney ◽  
Bradley J. Champagne
Keyword(s):  
Minimally Invasive ◽  
Rubber Band Ligation ◽  
Case Series ◽  
Rubber Band ◽  
Dentate Line ◽  
Additional Treatment ◽  
Coagulation System ◽  
Recurrent Bleeding ◽  
Internal Hemorrhoids ◽  
Prospective Case Series

Background. Existing nonsurgical procedures for the treatment of grade I and II internal hemorrhoids are often painful, technically demanding, and often necessitate multiple applications. This study prospectively assessed the safety and efficacy of the HET Bipolar System, a novel minimally invasive device, in the treatment of symptomatic grade I and II internal hemorrhoids. Methods. Patients with symptomatic grade I or II internal hemorrhoids despite medical management underwent hemorrhoidal ligation with the HET Bipolar System. Endpoints included resolution or improvement of hemorrhoidal bleeding and/or prolapse from baseline, recurrent or refractory symptoms, and pain. Results. Twenty patients were treated with the HET Bipolar System. Two were lost to follow-up. Refractory or recurrent bleeding was present in 8 of 18 (44.4%), 4 of 11 (36.4%), and 4 of 8 (50.0%) patients, and prolapse was reported by 1 of 18 (5.6%), 4 of 11 (36.4%), and 1/7 (14.3%) of patients at 1, 3, and 6 months, respectively. Bleeding improved from baseline in 88.2%, 81.8%, and 87.5% of patients, and resolution of baseline prolapse was seen in 11 of 11 (100%), 4 of 7 (57.1%), and 5 of 5 (100%) patients at the same intervals. Thirteen of 18 (72.2%) patients did not require additional treatment for their symptoms. Conclusions. The HET Bipolar System is safe and easy to use with short-term effectiveness comparable to that of currently used techniques for the treatment of symptomatic grade I and II internal hemorrhoids. It may be an effective alternative to rubber band ligation in patients with larger internal hemorrhoids and those with hemorrhoids close to the dentate line in which banding may produce debilitating pain.

scholarly journals Application of rubber band ligation as a treatment of internal hemorrhoids

2021 ◽  
Vol 9 (8) ◽  
pp. 2235
Author(s):  
Sevil Ozer Sari ◽  
Coşkun Yıldız
Keyword(s):  
Minimally Invasive ◽  
Low Cost ◽  
Laboratory Data ◽  
Rubber Band Ligation ◽  
Treatment Method ◽  
Rubber Band ◽  
Invasive Treatment ◽  
Band Ligation ◽  
Internal Hemorrhoids ◽  
Procedural Success

Background: Aim was to more than three-quarters of the whole population will experience complaints of hemorrhoids at some point in their lifetime. The treatment of internal hemorrhoids includes medical, minimally invasive and surgical treatments. The aim of the study was to evaluate the data of patients who were applied with rubber band ligation (RBL) as a minimally invasive treatment method of internal hemorrhoids.Method: The study conducted in the gastroenterology department of Izmir Tepecik training and research hospital between December 2015 and December 2019. Demographic and laboratory data of the patients, the success and the complications rates of the procedure were evaluated retrospectively .Results: Evaluation was carried out  in 45 consecutive patients, comprising 23 (51.1%) females and 22 (48.9%) males with a mean age of 54.62±7.82 years (range, 40-82 years). Procedural success rate was 91.1% and failure of treatment was seen in 8.9% of the patient. Recurrence rate of RBL procedure determined with control rectoscopy was found as 5.26% at 1 year follow-up. No major complications developed in any patient. Significant correlation was determined between the development of bleeding and the use of anticoagulants and anti-aggregants (p=0.003). No significant relationship was seen between the number of band ligation procedures and the development of complications (p=0.275).Conclusions: The application of RBL, which is widely used in the treatment of internal hemorrhoids, is a reliable and low-cost method that shortens the length of stay in hospital, which can be preferred in patients with high comorbidity risk for surgery. 

scholarly journals HEMORRHOIDS

2006 ◽  
Vol 13 (04) ◽  
pp. 664-668
Author(s):  
ABDUL MAJID ◽  
ASAD MAHMUD MALIK ◽  
MOHAMMAD QASIM BUTT
Keyword(s):  
Rubber Band Ligation ◽  
Case Series ◽  
Rubber Band ◽  
Military Hospital ◽  
Therapeutic Effects ◽  
Band Ligation ◽  
Symptom Severity Score ◽  
Group A ◽  
Prospective Case Series ◽  
Group B

Objective: To evaluate the therapeutic results of rubber band ligation inhemorrhoidal disease. Design:. Prospective case series with a minimum follow up of six months. Place and durationof study: At surgical out door department of Combined Military Hospital Rawalpindi from January 2002 to July 2003.Patients and methods: One hundred patients with 1st and 2nd degree hemorrhoids were treated by rubber band ligationand injection scelerothrapy in two groups “A” and “B” with 50 patients in each group respectively. They were followedup for six months and therapeutic effects were assessed by improvement in symptom severity score, post procedurecomplications and number of off days from work. Results: In group “A” 38(76%) patients were cured, 7(14%) showedimprovement and 5(10%) showed no improvement. While in group “B” 25(50%) patients were cured, 13(26%) showedimprovement and 12(24%) showed no improvement. In group “A” complications occurred in 15 patients and in group“B” complications occurred in 27 patients, however no serious and life threatening complications were seen. Conclusion:Rubber band ligation is a rapid, safe, effective and economical method of treating 1st and 2nd degree Hemorrhoids inout door

A Cross Sectional Study on the Outcome of Rubber Band Ligation in third Degree Hemorrhoids

2021 ◽  
Vol 15 (11) ◽  
pp. 3453-3454
Author(s):  
Rizwan Ahmad Khan ◽  
Fareeha Khaliq Khan ◽  
Maaz ul Hassan ◽  
Muhammad Naveed
Keyword(s):  
Anal Fissure ◽  
Rubber Band Ligation ◽  
Rubber Band ◽  
Cross Sectional Study ◽  
P Value ◽  
Sectional Study ◽  
Cross Sectional ◽  
Band Ligation ◽  
Operative Care ◽  
Internal Hemorrhoids

Objective: To determine the outcome of rubber band ligation in third degree hemorrhoids. Methods: - This design of this study was cross sectional study. The study was conducted at Shalamar medical and dental college, Lahore and the duration of this study was from April 2020 to September 2021. 215 patients were seen with complain of hemorrhoids, of which 47 had 3rd degree hemorrhoids. All patients with 3rd degree hemorrhoids underwent for rubber band ligation and were enrolled in the study. Outcome in our study was defined as pain, bleeding, constipation, anal fissure/fistula and infection. Chi- square test (χ2) of all qualitative variables was applied by taking p-value < 0.05 as significant. Results: - Of 47 patients admitted with 3rd degree hemorrhoid, 30 were males and 17 were females. The mean age of males was 38.78±12.71 while mean females age were found to be 22.73± 7.25 respectively. The most common complaint following rubber band ligation (RBL) was pain. 19 out of 47 patients were presented with pain followed by bleeding (14), constipation (13), anal fissure/fistula (10) and infection (8) which constitutes about 22.34 %, 22.78%15.32% and 14.03% respectively. There was significant relationship found between gender and anal fissure/fistula with p-value of <0.05. Conclusion: - Patients with 3rd degree hemorrhoids after RBL procedure showed fewer complications comparable to other surgical procedures in the treatment of hemorrhoids. It is the best possible options in third degree internal hemorrhoids. Moreover, this procedure is simple and cost-effective and requires no hospitalization, no anesthesia and no post-operative care. Keywords: - 3rd degree Hemorrhoids, Outcome, Rubber Band Ligation.

Complications of rubber band ligation of symptomatic internal hemorrhoids

1993 ◽  
Vol 36 (3) ◽  
pp. 287-290 ◽  
Author(s):  
L. Bat ◽  
E. Melzer ◽  
M. Koler ◽  
Z. Dreznick ◽  
E. Shemesh
Keyword(s):  
Rubber Band Ligation ◽  
Rubber Band ◽  
Band Ligation ◽  
Internal Hemorrhoids
Sign in / Sign up

Export Citation Format

Share Document