Rubber band ligation for 750 cases of symptomatic hemorrhoids out of 2200 cases.
OBJECTIVE
To study the results for the treatment of symptomatic hemorrhoids using rubber band ligation (RBL) method.


METHODS
A retrospective study for 750 patients who came to the colorectal unit from June, 1998 to September, 2006, data was retrieved from archived files. RBL was performed using the Mc Gown applicator on an outpatient basis. The patients were asked to return to out-patient clinic for follow up at 2 wk, 1 mo, 6 mo and through telephone call every 6 mo for 2 years).


RESULTS
After RBL, 696 patients (92.8%) were cured with no difference in outcome for second or third degree hemorrhoids (P = 0.31). Symptomatic recurrence was detected in 11.04% after 2 years. A total of 52 patients (6.93%) had 77 complications from RBL which required no hospitalization. Complications were pain, rectal bleeding and vaso-vagal symptoms (4.13%, 4.13% and 1.33% of patients, respectively). At 1 mo there were a significant improvement in mean SF-36 scores over baseline in five items, while after 2 years there were improvement in all items over baseline, but not significant. No significant manometeric changes after band ligation.


CONCLUSIONS
RBL is a simple, safe and effective method for treating symptomatic second and third degree hemorrhoids as an out patient procedure with significant improvement in quality of life. RBL doesn't alter ano-rectal functions.
El Nakeeb
Ayman-M
AM
Department of General Surgery, Colorectal Unit, Mansoura University Hospital, Mansoura 335111, Egypt. elnakeebayman@yahoo.com
Fikry
Amir-A
AA
Omar
Waleed-H
WH
Fouda
Elyamani-M
EM
El Metwally
Tito-A
TA
Ghazy
Hosam-E
HE
Badr
Sabry-A
SA
Abu Elkhar
Mohmed-Y
MY
Elawady
Salih-M
SM
Abd Elmoniam
Hisham-H
HH
Khafagy
Waiel-W
WW
Morshed
Mosaad-M
MM
El Lithy
Ramadan-E
RE
Farid
Mohamed-E
ME
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000556:Ambulatory Surgical Procedures; D005260:Female; D006484:Hemorrhoids / Q000503:physiopathology / Q000601:surgery*; D006801:Humans; D008026:Ligation; D008297:Male; D008875:Middle Aged; D011312:Pressure; D011351:Proctoscopy / Q000009:adverse effects / Q000379:methods; D011788:Quality of Life; D020127:Recovery of Function; D012008:Recurrence; D012189:Retrospective Studies; D012720:Severity of Illness Index; D011795:Surveys and Questionnaires; D013997:Time Factors; D016896:Treatment Outcome; D055815:Young Adult