OFFICE BASE MANAGEMENT OF NON-PROLAPSED INTERNAL HEMORRHOIDS: SINGLE VERSUS DOUBLE BAND LIGATION

Objective: To compare single versus double band ligation in the office based management of non-prolapsed internal hemorrhoids. Study Design: Randomized controlled trial. Place and Duration of Study: Outpatient department of Surgery, CMH Rawalpindi, from Jan 2015 to Dec 2016. Material and Me...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Tahir Iqbal Mirza, Muhammad Ali Khan, Waqas Ahmed, Adee Hussain
Formato:	article
Lenguaje:	EN
Publicado:	Army Medical College Rawalpindi 2019
Materias:	office based management ligation and recovery Medicine R Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/99b8e328488c4190b4c196e007854d8d
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:99b8e328488c4190b4c196e007854d8d
record_format	dspace
spelling	oai:doaj.org-article:99b8e328488c4190b4c196e007854d8d2021-11-12T06:05:15ZOFFICE BASE MANAGEMENT OF NON-PROLAPSED INTERNAL HEMORRHOIDS: SINGLE VERSUS DOUBLE BAND LIGATION0030-96482411-8842https://doaj.org/article/99b8e328488c4190b4c196e007854d8d2019-04-01T00:00:00Zhttps://www.pafmj.org/index.php/PAFMJ/article/view/2732/2140https://doaj.org/toc/0030-9648https://doaj.org/toc/2411-8842Objective: To compare single versus double band ligation in the office based management of non-prolapsed internal hemorrhoids. Study Design: Randomized controlled trial. Place and Duration of Study: Outpatient department of Surgery, CMH Rawalpindi, from Jan 2015 to Dec 2016. Material and Methods: All patients (216 patients, 108 in each group) presenting with bleeding, non-prolapsed internal hemorrhoids were included in the study after approval from hospital ethical committee. Patients with bleeding disorders and other ano-rectal conditions causing bleeding per rectum were excluded. Lignocaine gel (2%), disposable proctoscope, Barron’s ligator with grasper & black silicon bands (Germany) of 2mm diameter were used. The follow up regimen inclusive of Polycarbophil (Fibercon) sachet, Micro Purified Flavonoid Fraction (MPFF) (Daflon 500mg) and warm water sitz bath was same for both the groups of our study. Results: A total of 216 patients meeting the inclusion and exclusion criteria were selected and divided into two equal groups. In group A of double band ligation, mean age was 39.3 ± 1.7 years and mean time for fall of band was 6.6 ± 1.3 days (p=0.000). While in group B of single band ligation, mean age was 41.2 ± 2.1 years & mean time for fall of band was 7.2 ± 1.5 days (p=0.03) while the mean time of fall between the two groups was insignificant (p=0.251). Conclusion: Double band ligation for non-prolapsed bleeding hemorrhoids was found more simple, accessible,cost effective and more reliable than the single band ligation. Frequent visits of the patient can be minimized. The complications in both groups are same. It has reasonable early recovery, but equivocal recurrence.Tahir Iqbal MirzaMuhammad Ali KhanWaqas AhmedAdee HussainArmy Medical College Rawalpindiarticleoffice based managementligation and recoveryMedicineRMedicine (General)R5-920ENPakistan Armed Forces Medical Journal, Vol 69, Iss 2, Pp 250-254 (2019)
institution	DOAJ
collection	DOAJ
language	EN
topic	office based management ligation and recovery Medicine R Medicine (General) R5-920
spellingShingle	office based management ligation and recovery Medicine R Medicine (General) R5-920 Tahir Iqbal Mirza Muhammad Ali Khan Waqas Ahmed Adee Hussain OFFICE BASE MANAGEMENT OF NON-PROLAPSED INTERNAL HEMORRHOIDS: SINGLE VERSUS DOUBLE BAND LIGATION
description	Objective: To compare single versus double band ligation in the office based management of non-prolapsed internal hemorrhoids. Study Design: Randomized controlled trial. Place and Duration of Study: Outpatient department of Surgery, CMH Rawalpindi, from Jan 2015 to Dec 2016. Material and Methods: All patients (216 patients, 108 in each group) presenting with bleeding, non-prolapsed internal hemorrhoids were included in the study after approval from hospital ethical committee. Patients with bleeding disorders and other ano-rectal conditions causing bleeding per rectum were excluded. Lignocaine gel (2%), disposable proctoscope, Barron’s ligator with grasper & black silicon bands (Germany) of 2mm diameter were used. The follow up regimen inclusive of Polycarbophil (Fibercon) sachet, Micro Purified Flavonoid Fraction (MPFF) (Daflon 500mg) and warm water sitz bath was same for both the groups of our study. Results: A total of 216 patients meeting the inclusion and exclusion criteria were selected and divided into two equal groups. In group A of double band ligation, mean age was 39.3 ± 1.7 years and mean time for fall of band was 6.6 ± 1.3 days (p=0.000). While in group B of single band ligation, mean age was 41.2 ± 2.1 years & mean time for fall of band was 7.2 ± 1.5 days (p=0.03) while the mean time of fall between the two groups was insignificant (p=0.251). Conclusion: Double band ligation for non-prolapsed bleeding hemorrhoids was found more simple, accessible,cost effective and more reliable than the single band ligation. Frequent visits of the patient can be minimized. The complications in both groups are same. It has reasonable early recovery, but equivocal recurrence.
format	article
author	Tahir Iqbal Mirza Muhammad Ali Khan Waqas Ahmed Adee Hussain
author_facet	Tahir Iqbal Mirza Muhammad Ali Khan Waqas Ahmed Adee Hussain
author_sort	Tahir Iqbal Mirza
title	OFFICE BASE MANAGEMENT OF NON-PROLAPSED INTERNAL HEMORRHOIDS: SINGLE VERSUS DOUBLE BAND LIGATION
title_short	OFFICE BASE MANAGEMENT OF NON-PROLAPSED INTERNAL HEMORRHOIDS: SINGLE VERSUS DOUBLE BAND LIGATION
title_full	OFFICE BASE MANAGEMENT OF NON-PROLAPSED INTERNAL HEMORRHOIDS: SINGLE VERSUS DOUBLE BAND LIGATION
title_fullStr	OFFICE BASE MANAGEMENT OF NON-PROLAPSED INTERNAL HEMORRHOIDS: SINGLE VERSUS DOUBLE BAND LIGATION
title_full_unstemmed	OFFICE BASE MANAGEMENT OF NON-PROLAPSED INTERNAL HEMORRHOIDS: SINGLE VERSUS DOUBLE BAND LIGATION
title_sort	office base management of non-prolapsed internal hemorrhoids: single versus double band ligation
publisher	Army Medical College Rawalpindi
publishDate	2019
url	https://doaj.org/article/99b8e328488c4190b4c196e007854d8d
work_keys_str_mv	AT tahiriqbalmirza officebasemanagementofnonprolapsedinternalhemorrhoidssingleversusdoublebandligation AT muhammadalikhan officebasemanagementofnonprolapsedinternalhemorrhoidssingleversusdoublebandligation AT waqasahmed officebasemanagementofnonprolapsedinternalhemorrhoidssingleversusdoublebandligation AT adeehussain officebasemanagementofnonprolapsedinternalhemorrhoidssingleversusdoublebandligation
_version_	1718431185892278272

OFFICE BASE MANAGEMENT OF NON-PROLAPSED INTERNAL HEMORRHOIDS: SINGLE VERSUS DOUBLE BAND LIGATION

Ejemplares similares