Emergency haemorrhoidectomy compared with incision and banding for the treatment of acute strangulated haemorrhoids. A prospective randomised study.
OBJECTIVE
To find out if incision and banding was as effective as emergency haemorrhoidectomy in the treatment of strangulated haemorrhoids.


METHODS
Prospective randomised study.


METHODS
Glostrup Hospital, Copenhagen, Denmark.


METHODS
30 patients with uncomplicated acute strangulated haemorrhoids.


METHODS
Milligan-Morgan haemorrhoidectomy or incision, evacuation of blood clot, and application of elastic bands.


METHODS
Amount of analgesia required, length of stay in hospital, and incidence of complications.


RESULTS
Patients treated by incision and banding required significantly less opioid analgesia and spent significantly fewer days in hospital than those treated by haemorrhoidectomy, but two of them required emergency haemorrhoidectomy because the bands had slipped.


CONCLUSIONS
Incision and banding is a reasonable alternative to emergency haemorrhoidectomy provided that it is done correctly, but long term follow up is needed before a final conclusion can be drawn.
Department of Surgery D, Glostrup Hospital, University of Copenhagen, Denmark.
O O
OO
Rasmussen
K G
KG
Larsen
L
L
Naver
J
J
Christiansen
D000208:Acute Disease; D000328:Adult; D001458:Bandages; D004630:Emergencies; D005260:Female; D005500:Follow-Up Studies; D006484:Hemorrhoids / Q000150:complications / Q000601:surgery*; D006801:Humans; D008297:Male; D011446:Prospective Studies; D011897:Random Allocation; D013514:Surgical Procedures, Operative / Q000379:methods