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Single session ligation treatment of bleeding hemorrhoids
1Department of Surgery, Istanbul University Cerrahpasa Medical Faculty, Turkey.
Summary
Rubber band ligation (RBL) offers a safe and effective treatment for bleeding internal hemorrhoids. This minimally invasive procedure provides satisfactory long-term results for most patients, serving as a viable alternative to traditional surgery.
Area of Science:
- Gastroenterology
- Colorectal Surgery
Background:
- Internal hemorrhoids are a common condition, often presenting with bleeding.
- Traditional surgical hemorrhoidectomy can be associated with significant pain and recovery time.
Purpose of the Study:
- To evaluate the efficacy and safety of single-session rubber band ligation (RBL) for bleeding internal hemorrhoids.
- To compare RBL as an alternative to hemorrhoidectomy.
Main Methods:
- Prospective study of 49 consecutive patients with bleeding internal hemorrhoids.
- Treatment involved single-session rubber band ligation (RBL).
- Patients were followed up for two years post-procedure.
Main Results:
- 93.9% of patients reported satisfactory long-term results after RBL.
- 10 patients (20.4%) experienced minor complications including pain and bleeding.
- 3 patients required subsequent hemorrhoidectomy.
Conclusions:
- Single-session rubber band ligation (RBL) is a valuable and effective treatment option for selected patients with bleeding internal hemorrhoids.
- RBL offers a less invasive alternative to hemorrhoidectomy with high patient satisfaction rates.