Banding hemorrhoids using the O'Regan Disposable Bander. Single center experience.
BACKGROUND
Hemorrhoids are the most common anorectal disorder in the Western World and are a major cause of active, relapsing or chronic rectal bleeding. Many treatment options have been proposed and tried for early-stage hemorrhoids. There is general agreement that rubber banding ligation (RBL) is safe and effective.


OBJECTIVE
To evaluate the effectiveness and complications associated with RBL performed in outpatients for symptomatic hemorrhoids using the O'Regan Disposable Bander device.


RESULTS
Sixty consecutive patients underwent hemorrhoid banding with the O'Regan Disposable Bander. The mean time required for one session was 6.2 min; the longest was 10 min. No major complications were noted. Minor early and late bleeding was reported in 10% and 6.7% respectively, but none was severe. Pain occurred in 6.7% but was not severe. In all cases, clinical and endoscopic (range and form scores) improvement was observed and patients of all ages, including the elderly, were found to be tolerant to the procedure.


CONCLUSIONS
RBL performed in outpatients for symptomatic hemorrhoids using the O'Regan Disposable Bander device is associated with a good response and low complication rate. We recommend the technique as a safe and reliable treatment option.
Paikos
Dimitrios
D
"Theagenio" Hospital, Thessaloniki, Greece.
Gatopoulou
Anthie
A
Moschos
John
J
Koulaouzidis
Anastasios
A
Bhat
Shivram
S
Tzilves
Dimitrios
D
Soufleris
Konstantinos
K
Tragiannidis
Dimitrios
D
Katsos
Ioannis
I
Tarpagos
Anestis
A
D000328:Adult; D000368:Aged; D005260:Female; D006484:Hemorrhoids / Q000601:surgery*; D006801:Humans; D008026:Ligation / Q000009:adverse effects / Q000295:instrumentation; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D013525:Surgical Instruments / Q000009:adverse effects