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2011 | 83 | 12 | 654-661

Article title

Treatment of the Hemorrhoids and Anal Mucosal Prolapse Using Elastic Band Ligature - Early and Long Term Results

Content

Title variants

Languages of publication

EN

Abstracts

EN
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.

Publisher

Year

Volume

83

Issue

12

Pages

654-661

Physical description

Dates

published
1 - 12 - 2011
online
17 - 2 - 2012

Contributors

  • Department of General, Gastrointestinal and Endocrinological Surgery, K. Marcinkowski, Medical University in Poznań
  • Department of General, Gastrointestinal and Endocrinological Surgery, K. Marcinkowski, Medical University in Poznań
  • Department of General, Gastrointestinal and Endocrinological Surgery, K. Marcinkowski, Medical University in Poznań
author
  • Department of General, Gastrointestinal and Endocrinological Surgery, K. Marcinkowski, Medical University in Poznań
author
  • Department of General, Gastrointestinal and Endocrinological Surgery, K. Marcinkowski, Medical University in Poznań

References

  • Corman ML: Hemorrhoids. In: Corman ML, ed. Colon and rectal surgery. Philadelphia: Lippincott. Raven 1998; 147-205.
  • Johanson JF, Sonnenberg A: The prevalence of hemorrhoids and chronic constipation. An epidemiologic study. Gastroenterol 1990; 98(2): 380-86.
  • Marti MC: Hemorrhoids. In: Surgery of Anorectal Diseases; Springer - Verlag Berlin Heidelberg 1990; 56-73.
  • Blaisdell PC: Prevention of massive hemorrhage secondary to hemorrhoidectomy. Surg Gynecol Obstet 1958; 106: 485-88.
  • Barron J: Office ligation of internal hemorrhoids. Am J Surg 1963; (4)105: 563-70.
  • Kleinübing H Jr, Pinho MS, Ferreira LC: Longitudinal multiple rubber band ligation: an alternative method to treat mucosal prolapse of the anterior rectal wall. Dis Colon Rectum 2006; 49(6): 876-78.[PubMed][Crossref]
  • Shemesh EI, Kodner IJ, Fry RD et al.: Severe complication of rubber band ligation of internal haemorrhoids. Dis Colon Rectum 1987; 30: 199-200.
  • Quevedo-Bonilla G, Farkas AM, Abcarian H et al.: Septic complicatios of hemorrhoidal banding. Arch Surg 1988; 123(5): 650-51.[Crossref]
  • Russel TR, Donohue JH: Hemorrhoidal banding. A warning. Dis Colon Rectum 1985; 28(5): 291-93.[Crossref]
  • Marshaman D, Huber PJ Jr, Timmerman W et al.: Hemorrhoidal ligation: a review of efficacy. Dis Colon Rectum 1989; 32(5): 369-77.[Crossref]
  • MacRae HM, McLeod RS: Comparison of hemorrhoidal treatment modalities. A meta-analysis. Dis Colon Rectum 1995; 38: 687-94.
  • American Gastroenterological Association Medical Position Statement: Diagnosis and tretment of hemorrhoids. Gastroenterology 2004; 126: 1461-62.
  • American Gastroenterological Association Technical Review on the Diagnosis and Treatment of Hemorrhoids. Gastroenterology 2004; 126: 1463-73.
  • Mc Caffrey M, Pasero C: Assesment tools. In: Pain Clinical Manual (2nd edn) 1999. C. V. Mosby, St Louis: 58-88.
  • Galiese L, Weizblit N, Ellis W et al.: The measurement of postoperative pain: A comparison of intensity scales in younger and older surgical patients. Pain 2005; 117(3): 412-20.[Crossref]
  • Li L, Liu X, Herr K: Postoperative pain intensity assessment: a comparison of four scales in Chineese adults. Pain Med 2007; 8(3): 223-34.[Crossref][WoS]
  • Williamson A, Hoggart B: Pain: a review of three commonly used pain rating scales. J Clin Nurs 2005; 14(7): 798-04.[Crossref]
  • Barron J, Fallis LS: Non-operative treatment of internal hemorrhoids. Canad Med Ass J 1964 April(11); 90: 910-14.
  • Iyer VS, Shrier I, Gordon PH: Long-term outcome of rubber band ligation for symptomatic primary and recurrent internal hemorrhoids. Dis Colon Rectum 2004; 47(8): 1364-70.[Crossref][PubMed]
  • Bayer I, Myslovaty B, Picovsky BM: Rubber band ligation of hemorrhoids. Convenient and economic treatment. J Clin Gastroenterol 1996; 23(1): 50-52.[Crossref][PubMed]
  • Steinberg DM, Liegois H, Alexander-Williams J: Long term review of the result of rubber band ligation of hemorrhoids. Br J Surg 1975; 62(2): 144-46.
  • Longman RJ, Thomson WHF: A prospective study of outcome from rubber band ligation of piles. Colorectal Disease 2005; 8(2): 145-48.[WoS]
  • Bat L, Melzer E, Koler M et al.: Complication of rubber band ligation of symptomatic internal hemorrhoids. Dis Colon Rectum 1993; 36(3): 287-90.[Crossref]
  • Wrobleski DE, Corman ML, Veidenheimer MC et al.: Long-term evaluation of rubber ring ligation in hemorrhoidal disease. Dis Colon Rectum 1980; 23(7): 478-82.[Crossref]
  • Rabau MY, Bat L: Treatment of bleeding hemorrhoids by injection sclerotherapy and rubber band ligation. Isr J Med Sci 1985; 21(7): 569-71.[PubMed]
  • Kanellos I, Goulimaris I, Christoforidis E et al.: A comparison of simulatneous application of sclerotherapy and rubber band ligation applied separately, for the treatment of haemorrhoids: a prospective randomized trials. Colorectal Disease 2003; 5(2): 133-38.[Crossref]
  • Chew SB, Marshall L, Kalish L et al.: Shortterm and long-term results of combined sclerotherapy and rubber band ligation of hemorrhoids and mucosal prolapse. Dis Colon Rectum 2003; 46(3): 1232-37.[Crossref]
  • Khubchandani IT: A randomized comparison of single and multiple rubber band ligation. Dis Colon Rectum 1983; 26(11): 705-08.[PubMed][Crossref]
  • Poon GP, Chu KW, Lau WY et al.: Conventional vs. triple rubber band ligation for hemorrhoids: a prospective randomized trial. Dis Colon Rectum 1986; 29(12): 836-38.[Crossref]
  • Kumar N, Paulvannan S, Billings PJ: Rubber band ligation of hemorrhoids in the outpatient clinic. Ann R Coll Surg Engl 2002; 84(3): 172-74.
  • Friediger J, Borycka-Wasik K: Treatment of hemorrrhoidal disease. Proktologia 2003; (3)3: 274-86.
  • Zaheer S, Reilly WT, Pemberton JH et al.: Urinary retention after operations for benign anorectal diseases. Dis Colon Rectum 1998; 41(6): 696-704.[Crossref]
  • Toyonaga T, Matsushima M, Sogawa N et al.: Postoperative urinary retention after surgery for benign anorectal disease: potential risk factors and strategy for prevention. Int J Colorectal Dis 2006; 21(7): 676-82.[Crossref]
  • Bernal JC, Enguix M, Garcia JL et al.: Rubber band ligation for hemorrhoids in a colorectal unit. A prospective study. Rev Esp Enferm Dig 2005; 97(1): 38-45.
  • McCloud JM, Jameson JS, Scott AN D: Lifethreatenig sepsis following treatment for haemorrhoids: a systemic review. Colorectal Disease 2006; 8(9): 748-55.[Crossref]
  • Herman RM., Wałega P, Frey J et al.: Application of LigaSure electrothermy in surgical treatment of hemorrhoids - our experience. Proktologia 2003; 4(1): 40-50.
  • Koscinski T, Malinger S, Matysiak K: Modern methods of hemorrhoidal disease treatment. Polish J Surg 2000; 72(9): 857-62.

Document Type

Publication order reference

Identifiers

YADDA identifier

bwmeta1.element.-psjd-doi-10_2478_v10035-011-0105-6
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