Ambulatory management of Hemorrhoids by Rubber Band Ligation

Objective: To evaluate the efficacy of rubber band ligation for the management of internal haemorrhoids. Study design: A prospective randomized study. Place and duration of study: Department of Surgery Lahore General Hospital conducted from April 1999 to June 2002. Subject/Methods: One hundred and eighty patients with II & III degree Hemorrhoids were treated with rubber band application. Results: About 562 band applications in 255 sessions were made. Follow up ranged from 3 to 50 months with a median follow up of 19 months. The common post procedural complaints were anal discomfort (78 patients), proctalgia (24 patients) and soiling (12 patients). The overall success rate of RBL was 91.7%. Conclusion: Ambulatory RBL should be considered as a safe and effective treatment for 2nd and 3rd degree symptomatic haemorrhoids and is associated with low morbidity.

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Factors affecting the success rate of rubber band ligation in haemorrhoid treatment

Kocaeli Medical Journal ◽

10.5505/ktd.2019.68095 ◽

2019 ◽

Vol 8 (3) ◽

pp. 118-124

Author(s):

yahya çelik ◽

Ozan Andaç Erbil

Keyword(s):

Success Rate ◽

Rubber Band Ligation ◽

Rubber Band ◽

Factors Affecting ◽

Band Ligation

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Sclerobanding (Combined Rubber Band Ligation with 3% Polidocanol Foam Sclerotherapy) for the Treatment of Second- and Third-Degree Hemorrhoidal Disease: Feasibility and Short-Term Outcomes

Journal of Clinical Medicine ◽

10.3390/jcm11010218 ◽

2021 ◽

Vol 11 (1) ◽

pp. 218

Author(s):

Francesco Pata ◽

Luigi Maria Bracchitta ◽

Giancarlo D’Ambrosio ◽

Salvatore Bracchitta

Keyword(s):

Rubber Band Ligation ◽

Rubber Band ◽

Hemorrhoidal Disease ◽

Long Term Outcomes ◽

Short Term ◽

Foam Sclerotherapy ◽

Band Ligation ◽

Safe Technique

Background: Sclerobanding is a novel technique combining rubber band ligation with 3% polidocanol foam sclerotherapy for the treatment of hemorrhoidal disease (HD). The aim of this study is to evaluate the feasibility, safety and short-term outcomes of sclerobanding in the treatment of second- and third-degree HD. Methods: A retrospective analysis of second- and third-degree HD cases from November 2017 to August 2021 was performed. Patients on anticoagulants or with other HD degrees were excluded. Follow-up was conducted at 1 month, 3 months, 6 months, 1 year and then every 12 months. Results: 97 patients with second- (20 pts; 20.6%) and third-degree (77 pts; 79.4%) HD with a mean age of 52 years (20–84; SD ± 15.5) were included. Fifty-six patients were men (57.7%) and forty-one women (42.3%). Median follow-up was 13 months (1–26 months). No intraoperative adverse events or drug-related side effects occurred. Minor complications occurred in four patients (4.1%) in the first 30 postoperative days and all resolved after conservative treatment at the 3-month follow-up visit. No mortality or readmissions were observed. Conclusions: Sclerobanding is a safe technique with a low rate of minor postoperative complications. Further studies on larger samples are necessary to establish the effectiveness and long-term outcomes of the technique.

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RUBBER BANB LIGATION

The Professional Medical Journal ◽

10.29309/tpmj/2007.14.01.3633 ◽

2007 ◽

Vol 14 (01) ◽

pp. 104-111

Author(s):

DIL AWAIZ ◽

GHULAM MURTAZA ◽

ABID RASHEED ◽

Quddus-ur- Rehman ◽

Riaz Hussain

Keyword(s):

Rubber Band Ligation ◽

Digital Rectal Examination ◽

Rubber Band ◽

Lateral Position ◽

Single Session ◽

Band Ligation ◽

Left Lateral Position ◽

Operative Complications ◽

Post Operative Complications

Objectives: To find out the post-operative complications of rubber band ligation in 2nd and 3rd degree of hemorrhoids. Design: A descriptive study. Place and Duration of study: An eighteen month study with 2 months follow up (from January 2002 to June 2003), conducted in the department of surgery, Allied Hospital Faisalabad. Patients and Methods: 50 patients were selected (from OPD) in this study. We included all patients with uncomplicated, primary 2nd and 3rd degree hemorrhoids, above 12 years of age and having no co morbid disorders like diabetes, hypertension and bleeding disorders. With patient in the knee elbow or left lateral position (depending upon the choice of patient) digital rectal examination (ORE)was carried out after lubricating the finger with xylocaine jelly. Proctoscopy was done with lubricated proctoscope and exact sites of hemorrhoids localized. The hemorrhoids were ligated one by one. We did triple ligation on a single session. Results: Out of 50 patients, 21(42%) patients were suffering from 2nd degree hemorrhoids, while 29(58%) patients were having 3rd degree. 42(84%) patients were fully cured, 3(6%) developed mild pain, 1(2%) developed severe pain and 2(6%) suffered from mild bleeding while 2(6%) patients developed moderate bleeding. Conclusion: Rubber band ligation is an effective method for treating 2nd or 3rd degree hemorrhoids with no significant post-operative complications.

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Comparison of single versus double versus triple site band ligation for haemorrhoids in a single visit: a case-controlled double blind randomized study

International Surgery Journal ◽

10.18203/2349-2902.isj20201849 ◽

2020 ◽

Vol 7 (5) ◽

pp. 1445

Author(s):

Neeraj K. Dewanda ◽

Rohit Babal ◽

Harsh Kumar ◽

Deshraj Chawla

Keyword(s):

Patient Satisfaction ◽

Randomized Study ◽

Rubber Band Ligation ◽

Rubber Band ◽

Outpatient Basis ◽

Single Treatment ◽

Single Session ◽

Band Ligation ◽

Treatment Visit ◽

Single Versus

Background: Rubber band ligation is considered one of the most popular non-surgical procedures available, representing the most reasonable balance between efficacy, pain and potential of complication. The present study was a controlled double blinded randomized study to compare Single versus double versus triple site band ligation for haemorrhoids in single treatment visit with special regards to its safety and efficacy in our patient population.Methods: There were 78 patients equally randomized in three groups by closed enveloped method. The number of patients in each group was 26, In Group A, a single, in Group B, two, and in Group C three major haemorrhoidal groups were rubber band ligated, in a single treatment visit on outpatient basis under topical anaesthesia with lignocaine 2% jelly.Results: Rubber band ligation was effective with significant symptom improvement seen in all patients with 88% patient satisfaction at end of 30 days period. Post ligation pain score and number of analgesic requirement in immediate post band ligation period, at 12 hours, at 1,7,14, 21 and 30 days post band ligation were similar in all three groups with p value >0.05. Multiple site haemorrhoidal bandings was done safely at single session without severe discomfort, pain or bleeding or severe complications requiring hospitalization.Conclusions: The study finding shows that triple site band ligation in a single session is a safe way of treating symptomatic haemorrhoids with similar post-procedure pain and patient satisfaction as conventional single or double site band ligation.

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Rubber band ligation and infrared photocoagulation for the outpatient treatment of hemorrhoidal disease

Acta Cirurgica Brasileira ◽

10.1590/s0102-86502008000100016 ◽

2008 ◽

Vol 23 (1) ◽

pp. 102-106 ◽

Cited By ~ 8

Author(s):

Maurício Pichler Ricci ◽

Délcio Matos ◽

Sarhan Sydney Saad

Keyword(s):

Success Rate ◽

Rubber Band Ligation ◽

Rubber Band ◽

Hemorrhoidal Disease ◽

Exact Test ◽

Band Ligation ◽

Perianal Dermatitis ◽

Student’S T ◽

Infrared Photocoagulation ◽

Student’S T Test

PURPOSE: To compare the results of rubber band ligation and infrared photocoagulation for the treatment of hemorrhoidal disease through the analysis of the incidence of complications after each treatment and respective success rate. METHODS: Forty-eight patients with first, second or third degree hemorrhoidal disease were randomized to recieve treatment with either rubber band ligation (n=23) or infrared photocoagulation (n=25). Each patient was assessed at 1 week and 4 week intervals after treatment. We compared the incidence of complications and efficiency of each treatment modality and Qui-square, Fisher's Exact Test and Student's t Test were used to statistical analysis. RESULTS: Bleeding occured in eigth (34,7%) patients treated with rubber band ligation and in four (16,0%) after infrared photocoagulation (p=0,243). Thirteen (52,0%) patients felt pain during infrared photocoagulation and 9 (39,1%) after rubber band ligation (p=0,546). After rubber band ligation, 14 (60,8%) required medication for pain relief. One patient (4,0%) required medication after infrared photocoagulation (p<0,001). Three (13,0%) patients treated with rubber band ligator and 1 (4,0%) treated with infrared photocoagulation had symptomatic mucosal ulcers. Perianal dermatitis occured in two (8,0%) patients treated with infrared photocoagulation and one patient (4,3%) was observed to have prolapsed thrombosed piles after rubber band ligation. One month after treatment, 17 of 23 patients treated with rubber band ligation (73,9%) and 18 of 25 patients treated with infrared photocoagulation were asymptomatic. Rubber band ligation treated bleeding and prolapse in 90,0% and 82,4% respectively. Infrared photocoagulation treates bleeding and prolapse in 93,7% and 87,5% respectively. Those differences are not significant. CONCLUSION: Rubber band ligation causes significantly more pain than infrared photocoagulation during the first week after the procedures and their success rate are not different after four weeks of treatment.

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PTU-237 Band on the run: no follow up appointments required after rubber band ligation of haemorrhoids?

Gut ◽

10.1136/gutjnl-2015-309861.352 ◽

2015 ◽

Vol 64 (Suppl 1) ◽

pp. A166.1-A166

Author(s):

J Blackwell ◽

A Bhalla ◽

J Mitchell ◽

J Williams ◽

J Lund

Keyword(s):

Rubber Band Ligation ◽

Rubber Band ◽

Band Ligation

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The Effect of Rubber Band Ligation in Bleeding Internal Hemorrhoids.

Case Medical Research ◽

10.31525/ct1-nct04290351 ◽

2020 ◽

Author(s):

Keyword(s):

Rubber Band Ligation ◽

Rubber Band ◽

Band Ligation ◽

Internal Hemorrhoids

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Treatment of Symptomatic Hemorrhoids by Baron’s Band Ligation

10.53350/pjmhs2115113355 ◽

2021 ◽

Vol 15 (11) ◽

pp. 3355-3356

Author(s):

Fazal-e- Nauman ◽

Sirajud din ◽

Shandana Gul ◽

Mahwash Anjum Shafiq

Keyword(s):

Rubber Band Ligation ◽

Symptomatic Treatment ◽

Rubber Band ◽

Outpatient Setting ◽

Simple Method ◽

Duration Of Symptoms ◽

Band Ligation ◽

Medical College ◽

Normal Functional ◽

One Year

Haemorrhoids are a clinical symptom of a change in the normal functional architecture of the inflamed and swollen veins known as the anal cushion. Numerous treatment opportunities are available for this communal issue, but Baron's Gum Ligation (RBL) is the utmost frequently used technique for second- and third-degree haemorrhoids because it treats hemorrhoidal disease without anaesthesia, hospitalization, minimal complications, and ooutpatient discharge is uneventful compared to conventional surgery. Purpose: We conducted this study to evaluate the effectiveness of rubber band ligation in the treatment of second- and third-degree haemorrhoids. Methodology: This prospective study was performed on 76 patients over a six-month period at the Department of General Surgery from January 2021 to June 2021 at Islam Medical College and Teaching Hospital Sialkot. Rubber rubber ligation was used in all patients. A maximum of two haemorrhoids in one session were banded, and third as needed in a check-up done two weeks later. At the end of the fourth week, post-banding assessments were made for the presence and absence of bleeding, pain, and haemorrhoidal prolapse. Results: Of the 76 patients, 60 (78.9%) were male and 16 (21.1%) were female. The M:F ratio was 5.0: 1.0. 37.85 years was the mean age of patients (range 15 to 68). The duration of symptoms in approximately 48 patients (63.2%) was less than one year old, and in 18 (23.7%) patients ranged from 1 to 3 years and 10 (13.2%) patients had symptoms for more than 4 years. Complications occurred in 23 patients, bleeding in three patients, pain in 18 patients, 2 patients have prolapsed. Conclusion: RBL is effective, safe and simple method of symptomatic treatment for 2nd and 3rd degree haemorrhoids in an outpatient setting.

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