Related Experiment Videos
Multiple hemorrhoidal bandings in a single session
H H Lee1, R J Spencer, R W Beart
1Mayo Clinic Scottsdale, Arizona.
Insights
Multiple hemorrhoidal banding in a single session is safe and cost-effective. While patients experience increased discomfort and minor symptoms, major complications are rare, making it a viable alternative.
Area of Science:
- Gastroenterology
- Colorectal Surgery
Background:
- Hemorrhoidal banding is a common treatment for hemorrhoids.
- Evaluating the safety and efficacy of multiple bandings per session is crucial for patient management.
Purpose of the Study:
- To assess the risks associated with performing multiple hemorrhoidal bandings during a single session.
- To compare the outcomes of single versus multiple banding sessions.
Main Methods:
- Retrospective review of patient data.
- Analysis of patients undergoing hemorrhoidal banding between July 1989 and August 1992.
Main Results:
- Multiple banding patients reported greater discomfort and pain (29% vs. 4.5%), manageable with oral analgesia.
- Increased incidence of vasovagal symptoms (5.2%), local swelling (2.6%), and urinary hesitancy (12.3%) in the multiple-banding group.
- No major complications like massive bleeding or sepsis were observed.
Conclusions:
- Multiple hemorrhoidal banding in a single session is generally well-tolerated with low complication rates.
- This approach offers a safe and cost-effective alternative for hemorrhoid treatment.
Purpose:
The aim of our study was to evaluate the risks of multiple hemorrhoidal bandings in a single session.
Methods:
We retrospectively examined all of the patients who had hemorrhoidal bandings from July 1989 to August 1992.
Results:
Patients with multiple hemorrhoidal banding in a single session when compared with patients with single banding had greater discomfort and pain (29 percent vs. 4.5 percent), but this discomfort was usually manageable with oral analgesia of limited duration. There were also more vasovagal symptoms (5.2 percent vs. 0 percent), local swelling and edema (2.6 percent vs. 0 percent), and urinary hesitancy and frequency (12.3 percent vs. 0 percent) in the multiple-banded patients. No major complication such as massive delayed bleeding and perineal or pelvic sepsis was noted.
Conclusion:
Most patients tolerated multiple hemorrhoidal banding in a single session with acceptably low complications. Multiple banding in a single session is a safe and cost-effective alternative.