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Hemorrhoids pp 131-141 | Cite as

Rubber Band Ligation, Sclerotherapy, Infrared Coagulation, and Other Techniques in the Treatment of Hemorrhoids

  • Arantxa Muñoz-Duyos
  • Arantzazu Rada Palomino
  • Laura Hernández-Giménez
Reference work entry
Part of the Coloproctology book series (COLOPROCT, volume 2)

Abstract

The treatment of hemorrhoids should focus on eliminating the patient’s symptoms. If possible, hemorrhoidectomy should be avoided, to prevent postoperative complications and fecal incontinence. In this sense, the noninvasive surgical treatment of hemorrhoids is becoming more important. Considering the high incidence of hemorrhoids (almost 5% of the world population), and that most of these noninvasive treatments can be performed in an outpatient setting, these treatments are becoming more common. The mechanism of action is the same in all of them: producing a scar at the base of the hemorrhoid, reducing the vascular supply, and fixing the hemorrhoid cushion to the upper part of the anal canal in order to reduce bleeding and prolapse. Multiple techniques are available: rubber band ligation, sclerotherapy, infrared coagulation, bipolar diathermy, laser coagulation, the Ultroid (Ulterior Technologies, Tampa, FL, USA) approach, cryosurgery, and anal dilatation. These techniques are detailed in this chapter.

References

  1. Ahmad A, Kant R, Gupta A (2013) Comparative analysis of doppler guided hemorrhoidal artery ligation (dg-hal) & infrared coagulation (IRC) in management of hemorrhoids. Indian J Surg 75(4):274–277CrossRefPubMedGoogle Scholar
  2. Akindiose C, Alatise OI et al (2016) Evaluation of two injection sclerosants in the treatment of symptomatic haemorrhoids in Nigerians. Niger Postgrad Med J 23(3):110–115CrossRefPubMedGoogle Scholar
  3. Anscombe AR, Hancock BD, Humpreyss WV (1974) A clinical trial of the treatment of haemorrhoids by operation and Lord procedure. Lancet 2:250–253CrossRefPubMedGoogle Scholar
  4. Azizi R, Rabani-Karizi B, Taghipour MA (2010) Comparison between Ultroid and rubber band ligation in treatment of internal hemorrhoids. Acta Med Iran 48(6): 389–393PubMedGoogle Scholar
  5. Chaundhry V, Abscarian H (2016) Hemorrhoids. Large bowel. Elsevier, Philadelphia, pp 256–261Google Scholar
  6. Cocorullo G, Tutino R et al (2017) The non-surgical management for hemorrhoidal disease. A systematic review. G Chir 38(1):5–14CrossRefPubMedPubMedCentralGoogle Scholar
  7. Crea N, Pata G, Lippa M et al (2014) Hemorrhoidal laser procedure: short- and long-term results from a prospective study. Am J Surg 208:21–25CrossRefPubMedGoogle Scholar
  8. Dennison A, Whiston RJ et al (1990) A randomized comparison of infrared photocoagulation with bipolar diathermy for the outpatient treatment of hemorrhoids. Dis Colon Rectum 33(1):32–34CrossRefPubMedGoogle Scholar
  9. Ganz RA (2013) The evaluation and treatment of hemorrhoids. A guide for the gastroenterologist. Clin Gastroenterol Hepatol 11(6):593–603CrossRefPubMedGoogle Scholar
  10. Giamundo P, Salfi R, Geraci M et al (2011) The hemorrhoid laser procedure technique vs. rubber band ligation: a randomized trial comparing 2 mini-invasive treatments for second- and third-degree hemorrhoids. Dis Colon Rectum 54:693–698CrossRefPubMedGoogle Scholar
  11. Gupta PJ (2007) Infrared photocoagulation of early grades of hemorrhoids – 5-year follow-up study. Bratisl Lek Listy 108(4–5):223–226PubMedGoogle Scholar
  12. Hinton CP, Morris DL (1990) A randomized trial comparing direct current therapy and bipolar diathermy in the outpatient treatment of third-degree hemorrhoids. Dis Colon Rectum 33(11):931–932CrossRefPubMedGoogle Scholar
  13. Hood TR, Alexander-Williams J (1971) Anal dilatation versus rubber band ligation for internal haemorrhoids. Am J Surg 122:545–548CrossRefPubMedGoogle Scholar
  14. Iyer VS, Shrier I, Gordon PH (2004) Long-term outcome of rubber band ligation for symptomatic primary and recurrent internal hemorrhoids. Dis Colon Rectum 47:1364–1370CrossRefPubMedGoogle Scholar
  15. Jacobs D (2014) Hemorrhoids. N Engl J Med 371:944–951CrossRefPubMedGoogle Scholar
  16. Jahanshahi A, Mashhadizadeh E et al (2012) Diode laser for treatment of symptomatic hemorrhoid: a short term clinical result of a mini invasive treatment, and one year follow up. Pol Przegl Chir 84(7):329–332CrossRefPubMedGoogle Scholar
  17. Kanellos I, Goulimaris I et al (2003) A comparison of the simultaneous application of sclerotherapy and rubber band ligation, with sclerotherapy and rubber band ligation applied separately, for treatment of haemorrhoids: a prospective randomized trial. Color Dis 5(2):133–138CrossRefGoogle Scholar
  18. Keighley MRB, Buchmann P, Minervini S, Arabi Y, Alexander-Williams J (1979) Prospective trials of minor surgical procedures and high fibre diet for haemorrhoids. Br Med J II:967–969CrossRefGoogle Scholar
  19. Lim SW, Lee KR et al (1995) The effect of sclerotherapy on bleeding hemorrhoids. J Korean Soc Coloproctol 3:211–216Google Scholar
  20. Lohsiriwat V (2015) Treatment of hemorrhoids: a coloproctologist’s view. World J Gastroenterol 21(31):9245–9252CrossRefPubMedPubMedCentralGoogle Scholar
  21. Lord PH (1989) Digital dilatation for hemorrhoids treatment. Int Surg 74(3):144–145PubMedGoogle Scholar
  22. MacRae HM, McLeod RS (1997) Comparison of hemorrhoidal treatments: a metaanalysis. Can J Surg 40:14–17PubMedPubMedCentralGoogle Scholar
  23. Marques CF, Nahas SC et al (2006) Early results of the treatment of internal hemorrhoid disease by infrared coagulation and infrared coagulation and elastic banding: a prospective randomized cross-over trial. Tech Coloproctol 10(4):312–317CrossRefPubMedGoogle Scholar
  24. Miyamoto H, Hada T et al (2016) Aluminum potassium sulfate and tannic acid sclerotherapy for Goligher grades II and III hemorrhoids: results from a multicenter study. World J Hepatol 8(20):844–849CrossRefPubMedPubMedCentralGoogle Scholar
  25. Murie JA, Mackenzie I, Sim AJW (1980) Comparison of rubber band ligation and haemorrhoidectomy for second and third degree haemorrhoids: a prospective clinical trial. Br Surg 67:786–788CrossRefGoogle Scholar
  26. Naderan M, Shoar S et al (2017) A randomized controlled trial comparing laser intra-hemorrhoidal coagulation and Milligan-Morgan hemorrhoidectomy. J Invest Surg 30(5):325-331.CrossRefPubMedGoogle Scholar
  27. Randall GM, Jensen DM, Machicado GA, Hirabayashi K, Jensen ME, You S, Pelayo E (1994) Prospective randomized comparative study of bipolar versus direct current electrocoagulation for treatment of bleeding internal hemorrhoids. Gastrointest Endosc 40(4): 403–410CrossRefPubMedGoogle Scholar
  28. Russell TR, Donohue JH (1985) Hemorrhoidal banding: a warning. Dis Colon Rectum 28:291–293CrossRefPubMedGoogle Scholar
  29. Seok-Gyu S, Soung-Ho K (2011) Optimal treatment of symptomatic hemorrhoids. J Korean Soc Coloproctol 27(6):277–281CrossRefGoogle Scholar
  30. Serventi A, Rassu PC et al (2011) Haemorrhoidal disease: role of conservative outpatient treatments. Ann Ital Chir 82(5):341–347PubMedGoogle Scholar
  31. Sim AJW, Murie JA, Mackenzie I (1981) Comparison of rubber band ligation and sclerosant injection for first and second degree haemorrhoids: a prospective clinical trial. Acta Chir Scand 147:717–720PubMedGoogle Scholar
  32. Tajana A, Chiurazzi D et al (1995) Infrared photocoagulation, cryosurgery and laser surgery in hemorrhoidal disease. Ann Ital Chir 66(6):775–782PubMedGoogle Scholar
  33. Tanaka S (1989) Cryosurgical treatment of hemorrhoids in Japan. Int Surg 74(3):146–147PubMedGoogle Scholar
  34. Templeton JL et al (1983) Comparison of infrared coagulation and rubber band ligation for first and second degree haemorrhoids: a randomised prospective clinical trial. Br Med J (Clin Res Ed) 286:1387–1389CrossRefGoogle Scholar
  35. Tomiki Y, Ono S et al (2015) Treatment of internal hemorrhoids by endoscopic sclerotherapy with aluminum potassium sulfate and tannic acid. Diagn Ther Endosc 2015:517690CrossRefPubMedPubMedCentralGoogle Scholar
  36. Trompetto M, Clerico G et al (2015) Evaluation and management of hemorrhoids: Italian Society of Colorectal Surgery (SICCR) consensus statement. Tech Coloproctol 19(10):567–575CrossRefPubMedGoogle Scholar
  37. Yang HK (2014) Hemorrhoids. Chapter 6. In: Nonsurgical treatment of hemorrhoids. Springer, Berlin/HeidelbergCrossRefGoogle Scholar
  38. Zinberg SS, Stern DH, Furman DS, Wittles JM (1989) A personal experience in comparing three nonoperative techniques for treating internal hemorrhoids. Am J Gastroenterol 84(5):488–492PubMedGoogle Scholar

Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Arantxa Muñoz-Duyos
    • 1
  • Arantzazu Rada Palomino
    • 1
  • Laura Hernández-Giménez
    • 1
  1. 1.Colorectal Surgery UnitHospital Universitari Mútua TerrassaTerrassa/BarcelonaSpain

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