Document Detail


Long-term result after rubber band ligation for haemorrhoids.
MedLine Citation:
PMID:  19387663     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: Rubber band ligation (RBL) is a well-known and recognised outpatient procedure utilised for the treatment of symptomatic internal haemorrhoids. This paper describes a retrospective study which analyses the short- and long-term results of a personal series of patients. MATERIALS AND METHODS: A consecutive group of 206 patients with symptomatic internal second- and third-degree haemorrhoids were treated with RBL as outpatients from 1982 to 1989. Two or three piles were legated in a single session. All patients were systematically visited after 1 month and 1 year. Respectively after 10 and 17 years, all the patients were contacted to obtain a telephone follow-up. RESULTS: The short-term follow-up at 1 month and at 1 year showed that 46% of the patients experienced moderate anal pain for 24 h post procedure. Two patients had severe pain (1%) and were admitted in the hospital to be submitted to an operative haemorrhoidectomy within a few days. Only 2.4% of the patients experienced rectal bleeding after a week, and 20% had a second session of RBL after 1 month. At 1 year follow-up, 90% of the patients with second-degree piles and 75% of patients with third-degree piles reported no residual symptoms. The long-term telephone follow-up at 10 and 17 years collected the history of 138 patients (67%). A group of 69% was asymptomatic, 28% had residual symptoms, and 3% needed further surgery. CONCLUSION: RBL is a safe and effective treatment for symptomatic internal haemorrhoids. Our long-term follow-up demonstrated good long-term results for internal second- and third-degree haemorrhoids.
Authors:
Antonio Forlini; Antonio Manzelli; Silvia Quaresima; Massimo Forlini
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Publication Detail:
Type:  Journal Article     Date:  2009-04-23
Journal Detail:
Title:  International journal of colorectal disease     Volume:  24     ISSN:  1432-1262     ISO Abbreviation:  Int J Colorectal Dis     Publication Date:  2009 Sep 
Date Detail:
Created Date:  2009-07-24     Completed Date:  2009-10-21     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8607899     Medline TA:  Int J Colorectal Dis     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  1007-10     Citation Subset:  IM    
Affiliation:
Department of Surgery, General Surgery Division, Tor Vergata University Hospital, Tor Vergata University, Rome 00133, Italy.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Anal Canal / surgery
Digestive System Surgical Procedures
Female
Follow-Up Studies
Hemorrhoids / classification,  complications,  surgery*
Humans
Ligation / methods
Male
Middle Aged
Pain, Postoperative
Postoperative Hemorrhage
Retrospective Studies
Rubber
Treatment Outcome
Young Adult
Chemical
Reg. No./Substance:
9006-04-6/Rubber

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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