Septic Complications of Hemorrhoidal Banding

Quevedo-Bonilla, Gerardo; Farkas, Anna; Abcarian, Herand; Hambrick, Ernestine; Orsay, Charles P.

doi:10.1001/archsurg.1988.01400290136024

Cited by 56 publications

(20 citation statements)

References 10 publications

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“…It is difficult to explain this drastic complication. Immunodeficiency may be important; confirmed 39 (and possibly undiagnosed 40 ) HIV infection, phenothiazines 37 , intravenous drug abuse 32 and general debility 40 have all been proposed as contributing factors. Theoretically, placement of bands in a faecally loaded anorectum may risk the incorporation of faeces and a local abscess which, in the presence of devitalized tissue, may be catastrophic.…”

Section: Rubber-band Ligationmentioning

confidence: 99%

Septic complications after treatment of haemorrhoids

Guy¹,

Seow‐Choen²

2003

Journal of British Surgery

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Section: Rubber-band Ligationmentioning

confidence: 99%

Septic complications after treatment of haemorrhoids

Guy¹,

Seow‐Choen²

2003

Journal of British Surgery

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“…Postopera tive morbidity is scarce. There are isolated cases of serious perianal sepsis that sometimes resulted in generalized sep sis [10][11][12][13]. Ligation must definitely be avoided in pa tients with evident or suspected local sepsis.…”

Section: Discussionmentioning

confidence: 99%

“…Many authors [8,11] do not recommend multiple liga tions in a single session. In fact, this would imply an increased incidence of complications.…”

Section: Discussionmentioning

confidence: 99%

Multiple versus Single Rubber Band Ligation for Internal Hemorrhoids: A Review of 450 Consecutive Cases

Maria¹,

Brisinda²,

Palermo³

et al. 1997

Dig Surg

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In the last 10 years we have treated 450 consecutive patients symptomatically affected by 1st- or 2nd-degree hemorrhoids with rubber band ligation. The patients were divided into 2 groups: group A, 216 patients treated from 1983 to 1989, and group B, 234 patients treated from 1990 to 1993. In group A multiple ligations (2 or 3) were made in a single session. In the group B one ligation at a time was performed. In group A satisfactory results were obtained in 78% of the cases, whereas in group B the results were good in 91% of patients (p < 0.01). Complications also decreased: bleeding decreased from 25 to 5% and pain from 22 to 9% (p < 0.01). Sepsis was present in 30% of the group-A cases, but was never seen in group B. In conclusion rubber band ligation offers better results if it is made with one ligation at a time, repeating the operation every 4 weeks.

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“…After a few days strangulated tissue sloughs leaving an area of inflammation which turns into a small scar that fixes mucosa to underlying tissue (1,3,5,(7)(8)(9)(10)(11)(12)(13).…”

Section: Rubber Band Ligationmentioning

confidence: 99%

Treatment of the Hemorrhoids and Anal Mucosal Prolapse Using Elastic Band Ligature - Early and Long Term Results

Sękowska

Kościński

Wierzbicki

et al. 2011

Polish Journal of Surgery

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: prof. dr hab. M. Drews the aim of the study was to evaluate the results of the treatment of internal hemorrhoids and anal mucosal prolapse using elastic band ligation and to compare this method to chosen surgical procedures. material and methods. The study included 648 patients (363 males and 285 females). 474 patients were treated using an elastic band ligature and 174 patients underwent surgical hemorrhoidectomy. The average age of the patients in both groups was similar -49 years. The treatment tolerance was evaluated in the prospective study group. The intensity and duration of pain was assessed on the first and second postoperative day using a Verbal Rating Scale. results. 86.5% of the patients were cured using Barron's procedure, success rate for second-degree hemorrhoids was 89% and for third degree -85.2%. Surgical hemorrhoidectomy was effective in 92% of patients. Early failure of elastic ligature was noted in 2.5% of patients. The recurrences of hemorrhoidal symptoms were observed in 11% of Barron's group and in 8% after hemorrhoidectomy. The intensity of pain was much higher among patients after surgical hemorrhoidectomy. The average of the pain score in the 4 th hour was 0.3 for the elastic band ligation and 1.4 for the surgical treatment. In the 24 th hour -0.2 and 1.7 respectively. Mean postoperative stay was 3.8 days. conclusions. Rubber band ligation is highly effective and well tolerated. Relatively minor pain following this procedure is found in only 9.5% of patients. The disadvantages of surgical hemorrhoidectomy are: important postoperative pain and long time of wound healing that impair the recovery to professional activity.

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Septic Complications of Hemorrhoidal Banding

Cited by 56 publications

References 10 publications

Septic complications after treatment of haemorrhoids

Septic complications after treatment of haemorrhoids

Multiple versus Single Rubber Band Ligation for Internal Hemorrhoids: A Review of 450 Consecutive Cases

Treatment of the Hemorrhoids and Anal Mucosal Prolapse Using Elastic Band Ligature - Early and Long Term Results

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