Rubber Band Ligation in Outpatients

Objective:
The aim of the study was to evaluate the outcome of elastic ligation in internal haemorrhoids in our out-patient setting.Methods: The authors performed elastic ligation of haemorrhoids in 77 patients, and of these 71 (92 %) procedures were accomplished in out-patients. The procedure was indicated in second and third-degree symptomatic haemorrhoids and was carried out without local anaesthesia with the aid a Seward Medical® applicator. Typically, one haemorrhoidal node was treated per one session. All patients were clinically examined two weeks after completion of treatment.Results: The success rate of the procedure was 91%. The results were analyzed by a quiestionnaire. The most common unpleasant symptoms were pain and tenesms. Bleeding occurred in 6 patients. There was no serious life-threatening complication.Conclusion: Based on our observation we consider band ligation as a reliable therapy for symptomatic internal haemorrhoids in out-patients. We suggest reminding patients of possible of complications, unpleasant symptoms sensations restricting their daily activity on the first days after the procedure.

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Autoři: J. Schildberger ¹; S. Voháňka ²; T. Brychta; J. Maňoušek ¹
Působiště autorů: I. chirurgická klinika FNsP, Košice, Slovenská republika, prednosta prof. MUDr. J. Bober, CSc.
Vyšlo v časopise: Prakt. Lék. 2002; (12): 353-355
Kategorie: Články