Reis NJA, Reis JJA, Kagohara O, Simoes NJ, Amarillo HA

Language: Spanish
References: 10
Page: 15-19
PDF size: 125.18 Kb.

ABSTRACT

Introduction: Alternative therapies for intern hemorrhoid plexus are several procedures with specific indications for each grade of hemorrhoid disease. Due to some major advantages, rubber band ligation has become probably in the most popular between coloproctologist. A new concept arises, which is the high-macro rubber band ligation. Objective: To analyze results, morbidity and recidivate of internal hemorrhoid disease treated with high-macro rubber band ligation. Design: Non-randomized prospective analysis. Patients: 236 ambulatory patients (170 male). Period: 2005-2006. Setting: Private Institution and University Hospital. Methods: Patients with symptomatic internal hemorrhoid disease (grade III-IV). Immediate, late complications and recurrence were registered. Results: In 66% of cases three rubber bands were placed. There was only one session in 211 cases. Complications were: 4 cases of discomfort, 9 patients with mild pain and 2 with requirement of parenteral analgesia. Tenesmus was present in 69 cases and evacuatory proctorrhagia occur in 82%. In two cases, patients were admitted to be controlled due to hemorrhagic presentation. Recurrence was about 6% and all of them were treated with a new high rubber band ligation. Discussion and conclusion: This procedure presents low morbidity and there are no severe complications at the moment with a 12 month follow-up. Recurrence of symptoms is low and could be treated by a new session. It is an easy procedure, required no previous preparation, it is painless and there results are satisfactory.

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