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Related Experiment Videos

Single session treatment for bleeding hemorrhoids.

S J Weinstein1, E B Rypins, J Houck

  • 1Surgical Service, Long Beach Veterans Administration Medical Center, Irvine, California.

Surgery, Gynecology & Obstetrics
|December 1, 1987
PubMed
Summary
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Rubber band ligation is more effective than infrared coagulation for treating bleeding internal hemorrhoids in a single session. While both methods have similar discomfort levels, ligation offers superior symptomatic improvement at one and six months.

Area of Science:

  • Gastroenterology
  • Colorectal Surgery

Background:

  • Bleeding internal hemorrhoids are a common condition.
  • Various treatment options exist, including rubber band ligation and infrared coagulation.

Purpose of the Study:

  • To compare the efficacy and patient-reported discomfort of rubber band ligation versus infrared coagulation for single-session treatment of bleeding internal hemorrhoids.

Main Methods:

  • Prospective study of 50 outpatients with bleeding internal hemorrhoids.
  • Treatment with either rubber band ligation or infrared coagulation.
  • Follow-up at one and six months to assess symptomatic improvement and complications.

Main Results:

  • Rubber band ligation showed significantly higher symptomatic improvement at one month (22/23) and six months (15/23) compared to infrared coagulation (16/25 and 10/25, respectively).

Related Experiment Videos

  • No significant difference in procedural discomfort was reported between the two groups.
  • Complications after rubber band ligation included one case of thrombosed external hemorrhoid and one of delayed rectal bleeding.
  • Conclusions:

    • Rubber band ligation is a more effective single-session treatment for bleeding internal hemorrhoids than infrared coagulation.
    • While complications can occur, rubber band ligation offers superior long-term symptomatic relief.