Single Session, Multiple Band Ligation for Haemorrhoids
- 1 South West Acute Hospital, Enniskillen, UK
- 2 South West Acute Hospital, Enniskillen, UK
- 3 South West Acute Hospital, Enniskillen, UK
- 4 South West Acute Hospital, Enniskillen, UK
Abstract
Background: Single session, multiple Band Ligations (BL) for haemorrhoids has been practised in the UK for more than 40 years. It has been claimed that multiple BL in a single session can cause pain and discomfort [1]-[3], although this issue has not been formally assessed in the past. Our study was designed to examine this claim. Methods: Patients were randomly chosen for this study from rectal bleeding clinics and endoscopy lists. On diagnosis of haemorrhoids at proctoscopy these patients were offered, and treated with multiple BL. Results: 50 patients were treated with BL for 2 nd and (the majority) 3 rd degree haemorrhoids. All patients needed 2 - 3 haemorrhoids banded. 76% stated that they had no pain or discomfort, 14% complained of slight pain and 10% complained of very slight discomfort. 90% were successfully treated, and 97% stated that they would be prepared to undergo further treatment if necessary. Conclusion: Single session multiple haemorrhoids band ligations are a safe procedure which can be performed by surgeons in outpatient clinics with minimal discomfort for patients.
- Barron, J. (1963) Office Ligation of Internal Haemorrhoids. American Journal of Surgery, 105, 563-673. http://dx.doi.org/10.1016/0002-9610(63)90332-5
- Finninger, P. (1997) Modern Treatment for Internal Haemorrhoids. BMJ, 314, 1211. http://dx.doi.org/10.1136/bmj.314.7089.1211
- Dennison, A., Whiston, R.J., Rooney, S., Chadderton, R.D., Wherry, D.C. and Morris, D.L. (1990) A Randomised Comparison of Infrared Photocoagulation with Bipolar Diathermy for Outpatient Treatment of Haemorrhoids. Diseases of the Colon & Rectum, 33, 32-34. http://dx.doi.org/10.1007/BF02053198
- Yang, R., Migikovsky, B., Peicher, J. and Laine, L. (1993) Randomised, Prospective Trial of Direct Current versus Bipolar Electro Coagulation for Bleeding Internal Haemorrhoids. Gastrointestinal Endoscopy, 39, 766-769. http://dx.doi.org/10.1016/S0016-5107(93)70261-8
- Corman, M.L. (1998) Colon and Rectal Surgery. 4th Edition, Lippincott-Raven, Philadelphia, 147-205.
- Salvati, E.P. (1999) Non-Operative Management of Haemorrhoids. Diseases of the Colon & Rectum, 42, 989-993. http://dx.doi.org/10.1007/BF02236687 Beck, D.E. (1998) Haemorrhoidal Disease. In: Beck, D.E. and Wexner, S.D., Eds., Fundamentals of Anorectal Surgery, 2nd Edition, WB Saunders, London, 237-253. Cleator, I.G.M. and Cleator, M.M. (2005) The Cleator Clinic. On the Web: Banding Haemorrhoids Using the O’Regan Disposable Bander.
- Bleday, R., Pena, J.P., Rothenberger, D.A., Goldberg, S.M. and Buls, J.G. (1992) Symptomatic Haemorrhoids, Current Incidence and Complications of Operative Therapy. Diseases of the Colon & Rectum, 35, 477-481. http://dx.doi.org/10.1007/BF02049406
- Smith, L.E. (1992) Haemorrhoidectomy with Lasers and Other Contemporary Modalities. Surgical Clinics of North America, 3, 665-679. Schussman, L.C. and Lutz, L.J. (1986) Outpatient Management of Haemorrhoids. Prim Care, 13, 527-541.
- Liebach, J.R. and Cerda, J.J. (1991) Haemorrhoids: Modern Treatment Methods. Hospital Medicine, August, 53-68.
- Norman, D.A., Newton, R. and Nicholas GV. (1989) Direct Current Electrotherapy of Internal Haemorrhoids: An Effective, Safe and Painless Outpatient Approach. American Journal of Gastroenterology, 84, 482. Bullock, N. (1997) Impotence after Sclerotherapy of Haemorrhoids: Case Report. BMJ, 314, 419. http://dx.doi.org/10.1136/bmj.314.7078.419
- Templeton, J.L., Spence, R.J., Kennedy, T.L., et al. (1989) Comparison of Infra-Red Coagulation and Rubber Band Ligation for 1st and 2nd Degree Haemorrhoids. American Journal of Gastroenterology, 84, 475-481.