Single Session, Multiple Band Ligation for Haemorrhoids

K. Alubaidi, G. Clarke, A. Jamil, E. Ghareeb
2016 Surgical Science  
Single session, multiple Band Ligations (BL) for haemorrhoids has been practised in the UK for more than 40 years. It has been claimed that multiple BL in a single session can cause pain and discomfort [1]-[3], although this issue has not been formally assessed in the past. Our study was designed to examine this claim. Methods: Patients were randomly chosen for this study from rectal bleeding clinics and endoscopy lists. On diagnosis of haemorrhoids at proctoscopy these patients were offered,
more » ... nts were offered, and treated with multiple BL. Results: 50 patients were treated with BL for 2 nd and (the majority) 3 rd degree haemorrhoids. All patients needed 2 -3 haemorrhoids banded. 76% stated that they had no pain or discomfort, 14% complained of slight pain and 10% complained of very slight discomfort. 90% were successfully treated, and 97% stated that they would be prepared to undergo further treatment if necessary. Conclusion: Single session multiple haemorrhoids band ligations are a safe procedure which can be performed by surgeons in outpatient clinics with minimal discomfort for patients.
doi:10.4236/ss.2016.75032 fatcat:gsaqwg5ogrhvld6lmxogf2jmxe