Experience with rubber band ligation of hemorrhoids in northern Nigeria

Misauno, MA; Usman, Babagana; Nnadozie, UU; Obiano, SK

doi:10.4103/0300-1652.119654

Cited by 9 publications

(6 citation statements)

References 8 publications

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“…A literature search showed paucity of literature on epidemiology of hemorrhoids in Africa, but interventional studies from Nigeria reported a peak incidence in the late and early third and fourth decades respectively with a male predominance. [1011] A national study in a Caucasian population recorded hemorrhoids most commonly between the ages of 45–65 years affecting 5% of the population with no sex dominance. [12] In general, it is estimated that 50% of the people older than 50 years have hemorrhoids symptoms at least for a period.…”

Section: Discussionmentioning

confidence: 99%

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Hemorrhoidal disease: Predilection sites, pattern of presentation, and treatment

Ray-Offor

Amadi²

2019

Ann Afr Med

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Background:An engorgement and prolapse of the anal cushion lead to haemorrhoidal disease. There are different anatomical sites and presentation of this common pathology which affects the quality of life.Aims:To study the predilection sites, presentation and treatment of haemorrhoidal disease.Patients and Method:A cohort study of patients diagnosed with haemorrhoids at an Endoscopy centre in Port Harcourt, Rivers State Nigeria from February 2014- July 2017.The patients were divided into 2 groups: A - asymptomatic and B- symptomatic. Variables studied included: demographics, anatomic variations, grade of haemorrhoids, clinical presentation and treatment. Statistical analysis was performed using IBM SPSS Statistics for Windows, version 20.0. Armonk, NY.Results:One hundred and twenty- one cases were included in study. There were 76 males and 45 males with age range from 15 -80 years (mean 51.9±13.1yrs). Bleeding per rectum was the most common presentation. The position frequency of haemorrhoids in decreasing order were: right posterior (34.1%); right anterior (28.2%); left lateral (17.1%); left posterior (7.6%). Multiple quadrants were affected in 58(72.5%) cases of external haemorrhoids. Grade I, II and III haemorrhoids were seen in 38 (31%), 31(26%) and 21(17%) cases respectively.Conclusion:The most common anatomical site of external haemorrhoids is the right posterior quadrant position; frequently, multiple sites are simultaneously affected. Goligher classification Grade 1 hemorrhoids are effectively treated by injection sclerotherapy using 50% dextrose solution; a cheap and physiologic sclerotherapy agent.

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Section: Discussionmentioning

confidence: 99%

“…This office-based procedure is a simple, safe, and effective method for treating symptomatic second- and third-degree hemorrhoids with significant improvement in quality of life. [1018]…”

Section: Discussionmentioning

confidence: 99%

Hemorrhoidal disease: Predilection sites, pattern of presentation, and treatment

Ray-Offor

Amadi²

2019

Ann Afr Med

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“…15 Misauno et al, reported that 90% of their patients became symptom-free after Rubber Band Ligation. 22 Dilaweiz et al reported that only 6% of their patients reported recurrence after Rubber Band Ligation, for which procedure was repeated. 23 A study by Ayman et al reported that 11.04% of their patients developed recurrence, comparable to our results.…”

Section: Discussionmentioning

confidence: 99%

Rubber Band Ligation (RBL) vs Standard Hemorrhoidectomy (SH) for Treatment of Haemorrhoids

Liaqat

Butt²,

Ghani³

et al. 2022

PAFMJ

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Objective: To compare rubber band ligation (RBL) vs standard hemorrhoidectomy for the treatment of haemorrhoids. Study Design: Quasi-experimental study. Place and Duration of Study: Department of General Surgery, Pak Emirates Military Hospital Rawalpindi, from Feb 2020 to Jan 2021. Methodology: A total of 200 patients with 2nd and 3rd-degree haemorrhoids who met the inclusion and exclusion criteria were included in the study. Group-A patients underwent rubber band ligation, while in Group-B, Milligan Morgan hemorrhoid-dectomy was done. Results: There were 200 patients (100 in each Group). There were 135 males (67.5%) and 65 females (32.5%). The female to male ratio was 1:2.01. Mean age was 44.73 ± 8.36 years in Group-A and 43.48 ± 8.98 years in Group-B. Mean duration of complaints was 8.72 ± 4.32 months in Group-A and 10.89 ± 3.80 in Group-B. Post-procedure patients were called for follow up in a third and eighth week. The most common complication seen in Group-A was recurrence which was 18% (p-value 0.001), and pain in Group-B, 82% (p-value 0.001), which was statistically significant. Conclusion: We concluded that Rubber band ligation is a quick, safe and cost-effective procedure for the outpatient department for Grade II and III haemorrhoids. The recurrence rate is high compared to standard hemorrhoid-dectomy, but its advantages make it a first-line procedure for Grade II and III haemorrhoids in the outpatient departments.

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“…High postoperative recurrence rate is a common issue in the rubber band ligation. The post-operative recurrence rate varies significantly, depending on the surgical approaches, ligation instruments, and the severity of internal hemorrhoids (8)(9)(10)(11)(12)(13)(14). In addition, the criteria for postoperative recurrence have not been widely accepted.…”

Section: Discussionmentioning

confidence: 99%

Efficacy of modified rubber band ligation in the treatment of grade III internal hemorrhoids

Jin¹,

Yang²,

Qin³

et al. 2021

Ann Palliat Med

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Background: Traditional rubber band ligation can improve the symptoms of hemorrhoids, the techniques used vary among centers and the degree of hemorrhoids may also affect the therapeutic efficacy and postoperative outcome, especially for patients with grade III hemorrhoids (hemorrhoid prolapses). This study aimed to investigate the clinical efficacy of modified rubber band ligation (MRBL) in the treatment of grade III internal hemorrhoids.Methods: A total of 120 patients with grade III internal hemorrhoids were randomly assigned to receive MRBL or Milligan-Morgan haemorrhoidectomy (MMH) (n=60 per group). The post-operative pain, bleeding, urine retention and feeling of anal distension were recorded, and the resting anal pressure (RAP) and post-operative recurrence rate were compared between two groups.Results: The post-operative pain, bleeding and urine retention in the MRBL group were improved significantly as compared with the MMH group (P<0.05), but the feeling of anal distension was similar between them (P>0.05). The RAP remained unchanged after MRBL, but the RAP at 1 month after surgery in the MMH group increased markedly (P<0.01) as compared with that before surgery and was significantly higher than that in the MRBL group (P<0.01). The post-operative recurrence rate was comparable between two groups (P>0.05).Conclusions: As compared with traditional MMH, MRBL is effective to attenuate the post-operative pain and other discomforts and stabilize the RA. Thus, MRBL is an ideal choice for the treatment of grade III internal hemorrhoids.

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Experience with rubber band ligation of hemorrhoids in northern Nigeria

Cited by 9 publications

References 8 publications

Hemorrhoidal disease: Predilection sites, pattern of presentation, and treatment

Hemorrhoidal disease: Predilection sites, pattern of presentation, and treatment

Rubber Band Ligation (RBL) vs Standard Hemorrhoidectomy (SH) for Treatment of Haemorrhoids

Efficacy of modified rubber band ligation in the treatment of grade III internal hemorrhoids

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