Comparative Study of Staging Rubber Band Ligation (RBL) and Hemorrhoidectomy in Treatment of Forth Degree Hemorrhoids

Background Rubber band ligation is one of the most worldwide used treatments of hemorrhoids because of its effectiveness and low complication rate. Hemorrhoidectomy is the procedure of choice for treatment of grade four hemorrhoids, which is a painful method for a relatively benign disease. There a...

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Autores principales:	Mahmoud Aghaei, Hadi Hadavi, Mehrdad Vahedian, Bahram Poorseyedi, Hamid Zeynali, Mohammad Reza Lashkari Zadeh
Formato:	article
Lenguaje:	EN
Publicado:	Shiraz University of Medical Sciences 2013
Materias:	rubber band ligation hemorrhoidectomy hemorrhoids Medicine R
Acceso en línea:	https://doaj.org/article/940a0ba5e0f54309bc4e90163b71097c
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spelling	oai:doaj.org-article:940a0ba5e0f54309bc4e90163b71097c2021-11-14T07:53:33ZComparative Study of Staging Rubber Band Ligation (RBL) and Hemorrhoidectomy in Treatment of Forth Degree Hemorrhoids2783-243010.17795/acr-12267https://doaj.org/article/940a0ba5e0f54309bc4e90163b71097c2013-09-01T00:00:00Zhttps://colorectalresearch.sums.ac.ir/article_45450_2e67a97bffd10b3c5851dab8a5c81ae7.pdfhttps://doaj.org/toc/2783-2430Background Rubber band ligation is one of the most worldwide used treatments of hemorrhoids because of its effectiveness and low complication rate. Hemorrhoidectomy is the procedure of choice for treatment of grade four hemorrhoids, which is a painful method for a relatively benign disease. There are a few studies available analyzing the effectiveness of RBL as an initial treatment for grade four symptomatic internal hemorrhoids. Objectives This study aimed to analyze the efficacy of the staging rubber band ligation in the treatment of grade four hemorrhoids and compare it to hemorrhoidectomy. Patients and Methods A prospective randomized clinical trial was performed on all patients diagnosed with grade four symptomatic internal hemorrhoids from August 2011 to March 2013. Sixty four patients with grade four hemorrhoids were divided into two groups and underwent hemorrhoidectomy (H group) and rubber band ligation (R group).These patients were compared for any complications and recurrence in a six month period. Results Pain existed in 100% of the H group and 67.7% of the R group in the first visit one week postoperation (P < 0.05). There was a statistically significant difference between the two groups regarding the days off work. Patients’ satisfaction and recurrence were similar in the both groups after a period of six months. Conclusions This study showed that staging rubber band ligation is effective for treating grade four hemorrhoids. Few complications and low recurrence rates were noted, which enable us to recommend this modality as the procedure of choice for the management of selected patients with grade four symptomatic hemorrhoids.Mahmoud AghaeiHadi HadaviMehrdad VahedianBahram PoorseyediHamid ZeynaliMohammad Reza Lashkari ZadehShiraz University of Medical Sciencesarticlerubber band ligationhemorrhoidectomyhemorrhoidsMedicineRENIranian Journal of Colorectal Research, Vol 1, Iss 2, Pp 6-6 (2013)
institution	DOAJ
collection	DOAJ
language	EN
topic	rubber band ligation hemorrhoidectomy hemorrhoids Medicine R
spellingShingle	rubber band ligation hemorrhoidectomy hemorrhoids Medicine R Mahmoud Aghaei Hadi Hadavi Mehrdad Vahedian Bahram Poorseyedi Hamid Zeynali Mohammad Reza Lashkari Zadeh Comparative Study of Staging Rubber Band Ligation (RBL) and Hemorrhoidectomy in Treatment of Forth Degree Hemorrhoids
description	Background Rubber band ligation is one of the most worldwide used treatments of hemorrhoids because of its effectiveness and low complication rate. Hemorrhoidectomy is the procedure of choice for treatment of grade four hemorrhoids, which is a painful method for a relatively benign disease. There are a few studies available analyzing the effectiveness of RBL as an initial treatment for grade four symptomatic internal hemorrhoids. Objectives This study aimed to analyze the efficacy of the staging rubber band ligation in the treatment of grade four hemorrhoids and compare it to hemorrhoidectomy. Patients and Methods A prospective randomized clinical trial was performed on all patients diagnosed with grade four symptomatic internal hemorrhoids from August 2011 to March 2013. Sixty four patients with grade four hemorrhoids were divided into two groups and underwent hemorrhoidectomy (H group) and rubber band ligation (R group).These patients were compared for any complications and recurrence in a six month period. Results Pain existed in 100% of the H group and 67.7% of the R group in the first visit one week postoperation (P < 0.05). There was a statistically significant difference between the two groups regarding the days off work. Patients’ satisfaction and recurrence were similar in the both groups after a period of six months. Conclusions This study showed that staging rubber band ligation is effective for treating grade four hemorrhoids. Few complications and low recurrence rates were noted, which enable us to recommend this modality as the procedure of choice for the management of selected patients with grade four symptomatic hemorrhoids.
format	article
author	Mahmoud Aghaei Hadi Hadavi Mehrdad Vahedian Bahram Poorseyedi Hamid Zeynali Mohammad Reza Lashkari Zadeh
author_facet	Mahmoud Aghaei Hadi Hadavi Mehrdad Vahedian Bahram Poorseyedi Hamid Zeynali Mohammad Reza Lashkari Zadeh
author_sort	Mahmoud Aghaei
title	Comparative Study of Staging Rubber Band Ligation (RBL) and Hemorrhoidectomy in Treatment of Forth Degree Hemorrhoids
title_short	Comparative Study of Staging Rubber Band Ligation (RBL) and Hemorrhoidectomy in Treatment of Forth Degree Hemorrhoids
title_full	Comparative Study of Staging Rubber Band Ligation (RBL) and Hemorrhoidectomy in Treatment of Forth Degree Hemorrhoids
title_fullStr	Comparative Study of Staging Rubber Band Ligation (RBL) and Hemorrhoidectomy in Treatment of Forth Degree Hemorrhoids
title_full_unstemmed	Comparative Study of Staging Rubber Band Ligation (RBL) and Hemorrhoidectomy in Treatment of Forth Degree Hemorrhoids
title_sort	comparative study of staging rubber band ligation (rbl) and hemorrhoidectomy in treatment of forth degree hemorrhoids
publisher	Shiraz University of Medical Sciences
publishDate	2013
url	https://doaj.org/article/940a0ba5e0f54309bc4e90163b71097c
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Comparative Study of Staging Rubber Band Ligation (RBL) and Hemorrhoidectomy in Treatment of Forth Degree Hemorrhoids

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