HEMORRHOIDS

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

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HEMORRHOIDECTOMY VS RUBBER BAND

The Professional Medical Journal ◽

10.29309/tpmj/2011.18.04.2637 ◽

2011 ◽

Vol 18 (04) ◽

pp. 571-574

Author(s):

MUHAMMAD DILAWAIZ ◽

ABID RASHID ◽

MUHAMMAD ABID BASHIR

Keyword(s):

Hospital Stay ◽

Rubber Band Ligation ◽

Rubber Band ◽

University Hospital ◽

Severe Bleeding ◽

Average Hospital ◽

Band Ligation ◽

Open Hemorrhoidectomy ◽

Group A ◽

Group B

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 under spinal anesthesia while rubber bands were applied with local xylocaine gel using Barron’s rubber band ligator. All the three hemorrhoids were ligated 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.

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SCLEROTHERAPY VERSUS RUBBER BAND LIGATION;

The Professional Medical Journal ◽

10.29309/tpmj/2012.19.02.2017 ◽

2012 ◽

Vol 19 (02) ◽

pp. 222-227

Author(s):

SHAZIA JEHAN ◽

MAHMMOD ALI ◽

Muhammad ATEEQ ◽

Faisal .G. Bhopal

Keyword(s):

Teaching Hospital ◽

Rubber Band Ligation ◽

Rubber Band ◽

Injection Sclerotherapy ◽

P Value ◽

Band Ligation ◽

Group A ◽

Group B ◽

Surgical Unit ◽

Second Degree

Objective: To compare the outcome of two different procedures of non operative treatment of uncomplicated second degreehemorrhoids in terms of efficacy and patients compliance. Study Design: Prospective interventional. Controlled Phase II clinical trial. Setting& Duration: Surgical Unit DHQ (Teaching) Hospital Rawalpindi from 10th September 2004 to 20th May 2006. Methodology: Regardless ofage and sex, first hundred patients attending the out patients department of surgical unit, DHQ( Teaching) Hospital , Rawalpindi withuncomplicated second degree hemorrhoids after informed consent were enrolled in the trial. Patients were divided into two treatment groupsA&B with 50 patients in each by random draw sampling. Patients in Group A were subjected to injection sclerotherapy (SCL) whereas of GroupB, Rubber band ligation (RBL) was performed. Results: One hundred patients of mean age of 42.24 years with uncomplicated second degreehemorrhoids with standard deviation of + 13.63 years were enrolled in this study. Out of total one hundred patients, 62 were male and 38 werefemale. The major indications of treatment were bleeding per rectum and prolapse. Patients in Group A were subjected to Injectionsclerotherapy (SCL) and of Group B , Rubber band ligation (RBL) was performed. In Group A , 28 patients (56%) were symptoms free after 4-6weeks with single session of SCL , 16 patients (32%) required additional second session at eight week and 6 patients (12%) required thirdsession at 12 weeks respectively due to persistence of symptoms. In Group B , 44 patients (88%) were symptom free after four weeks withsingle session of RBL, while 6 patients (12%) required second session at 10 weeks to become symptom free. At 12 month follow-up 46 patients(92%) remain symptomfree and 4 patients (8%) had recurrence of symptoms in Group A and rubber band ligation was performed. All thepatients of Group B (RBL) remained symptom free. (P value=0.041). Conclusions: Rubber band ligation is a safe, effective, economical nonoperative treatment option for second degree uncomplicated hemorrhoids with good patients compliance.

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Rubber Band Ligation as an Alternative Hemostatic Device for Colonic Post-polypectomy Bleeding: A Case Series and Review of Literature

Clinical Gastroenterology and Hepatology ◽

10.1016/j.cgh.2015.04.074 ◽

2015 ◽

Vol 13 (7) ◽

pp. e88

Author(s):

P.S. Te ◽

J.T. Co

Keyword(s):

Rubber Band Ligation ◽

Case Series ◽

Rubber Band ◽

Review Of Literature ◽

Band Ligation

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

Surgical Innovation ◽

10.1177/1553350616660628 ◽

2016 ◽

Vol 23 (6) ◽

pp. 581-585 ◽

Cited By ~ 2

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.

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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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Morphological and histopathological study of hypertrophied inferior nasal turbinate in Egyptian patients: in clinical perspective

The Egyptian Journal of Otolaryngology ◽

10.1186/s43163-020-00024-2 ◽

2020 ◽

Vol 36 (1) ◽

Author(s):

Ashraf Ali El-Demerdash ◽

Essam Abdel Wanees Beheiry ◽

Sherif Maher El-Aini ◽

Asmaa Shams El-Dein Mohamed ◽

Ahmed Mohamed Ibrahim Khattab

Keyword(s):

Layer Thickness ◽

Nasal Septum ◽

Inferior Turbinate ◽

Military Hospital ◽

Deviated Nasal Septum ◽

Nasal Turbinate ◽

Egyptian Patients ◽

Mucosal Layer ◽

Group A ◽

Group B

Abstract Background The inferior nasal turbinates have important role in the maintenance of nasal breathing function by providing the nasal valve mechanism necessary for the regulation of air flow through the nose. Hypertrophied inferior nasal turbinates are the second most common cause of chronic nasal obstruction. Our aim of this study is to evaluate the morphological and histopathological features of hypertrophied inferior nasal turbinate in Egyptian patients. Methods Our descriptive comparative study was carried on 30 patients presented with hypertrophied inferior nasal turbinate by clinical and radiological assessment. Patients are divided into two groups according to CT scan and endoscopic examination as group A for patients with deviated nasal septum with compensatory hypertrophied inferior nasal turbinate and group B for patients with hypertrophied inferior nasal turbinate due to allergic rhinosinusitis. Both groups underwent the same operation which partial controlled posterior inferior turbinectomy. During the period from June 2018 till May 2019, patients were selected from out-patient’s clinic of Otorhinolaryngology Department at Menoufia University Hospital and Shebin El-Kom Teaching Hospital, and Military Hospital. Results By histopathological examination of the specimens, we found out that the bony layer thickness was more prominent in group A and the mucosal layer thickness was more prominent in group B. The prominent inflammatory cells were lymphocytes in group A and eosinophils plus mast cells in group B. Conclusion The bony layer thickness should be excised during the surgical treatment of cases presented with deviated nasal septum with hypertrophied inferior turbinate where in cases of allergic rhinitis with hypertrophied inferior turbinate, the mucosal layer is enough to be excised.

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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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A Randomized Clinical Trial of Proton Pump Inhibitors Combined with Traditional Chinese Medicine in the Treatment of Laryngopharyngeal Reflux Disease

Acupuncture & Electro-Therapeutics Research ◽

10.3727/036012921x16321477053845 ◽

2021 ◽

Author(s):

Feng Pei ◽

Wei Jia Hu ◽

Yi Nan Mao ◽

Yu Liang Zhao

Keyword(s):

Proton Pump ◽

Reflux Disease ◽

Laryngopharyngeal Reflux ◽

Short Form ◽

Therapeutic Effects ◽

Reflux Symptom Index ◽

Symptom Index ◽

Laryngopharyngeal Reflux Disease ◽

Group A ◽

Group B

Background:To explore whether combined with TCM based on classical proton pumpinhibitors PPIs therapy can achieve better efficacy for patients withlaryngopharyngeal reflux disease. Methods: There were 150 laryngopharyngeal refluxpatients enrolled and divided into three groups randomly, with 50 cases in each group.Patients in group A were treated with the proton pump inhibitor (PPI) lansoprazole.Patients in group B were treated with lansoprazole combined with Banxia Houpudecoction, and patients in group C were treated with acupuncture treatments and acombination of Chinese and Western medicine. The reflux symptom index (RSI), refluxfinding score (RFS), and quality of life (36 item short form health survey questionnaire)were assessed before and 4 and 8 weeks after treatment. Results: The RSI and RFSscores of the three groups were significantly reduced after treatment (P < 0.001). Ingroup B and C, they were lower than in group A at 8 weeks (P < 0.01). The SF 36 scoreof 3 groups increased after treatment. At both 4 and 8 weeks (P < 0.001), and patientsin groups B and C scored higher than patients in group A (P < 0.001). The total effectiverate of group B and group C was higher than that of group A (P < 0.05). Conclusion:All three treatments have therapeutic effects on the disease, but the efficacy of a PPIalone is not as good as the combined treatments’ efficacies. Moreover, PPI combinedwith Banxia Houpu decoction and/or acupuncture treatment substantially affects lifeimprovement.

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