Rubber Band Ligation of Internal Hemorrhoids
Hemorrhoids, although extremely common, require treatment only when they are symptomatic. Symptoms consist of bleeding, discomfort due to protrusion, and pain generally due to thrombosis. Although painful thrombosis most often occurs in external hemorrhoids, the source of symptoms in most patients is the internal hemorrhoid. Surgical treatment for most cases of symptomatic internal hemorrhoids can be carried out in the office without anesthesia by utilizing rubber band ligation, by injecting sclerosing solution, or by applying cryosurgery. This last method, however, produces an excessive amount of drainage during the postoperative period, and because it has no compensating advantages, it is rarely used at the present time. If the proper guidelines are followed in the technique of rubber band ligation, this technique achieves satisfactory results over the long term in more cases than does the injection of sclerosing solution.
KeywordsRubber Band Clostridium Perfringens Internal Hemorrhoid Rubber Band Ligation External Hemorrhoid
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Alexander-Williams J, Crapp AR. Conservative management of hemorrhoids. I. Injection, freezing and ligation. Clin Gastroenterol 1975;4:595.PubMedGoogle Scholar
Barron J. Office ligation treatment of hemorrhoids. Dis Colon Rectum 1963;6:109.PubMedCrossRefGoogle Scholar
Clay LD III, White JJ Jr, Davidson JT et al. Early recognition and successful management of pelvic cellulitis following hemorrhoidal banding. Dis Colon Rectum 1986;29:579–581.PubMedCrossRefGoogle Scholar
O’Hara VS. Fatal clostrdial infection following hemorrhoidal banding. Dis Colon Rectum 1980;23:570–571.PubMedCrossRefGoogle Scholar
Rudd WWH. Ligation of hemorrhoids as an office procedure. Can Med Assoc J 1973;108:56.PubMedGoogle Scholar
Russell TR, Donohue JH. Hemorrhoidal banding: a warning. Dis Colon Rectum 1985;28:291–293.PubMedCrossRefGoogle Scholar
Shemesh EI, Kodner IJ, Fry RD et al. Severe complication of rubber band ligation of internal hemorrhoids. Dis Colon Rectum 1987;30:199–200.PubMedCrossRefGoogle Scholar
Tchirkow G, Haas PA, Fox TA Jr. Injection of a local anesthetic solution into hemorrhoidal bundle following rubber band ligation. Dis Colon Rectum 1982;25:62.PubMedCrossRefGoogle Scholar
Nivatvongs S, Goldberg SM. An improved technique of rubber band ligation of hemorrhoids. Am J Surg 1982; 144:379.CrossRefGoogle Scholar
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