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Article: Triple rubber band ligation for hemorrhoids: Prospective, randomized trial of use of local anesthetic injection

TitleTriple rubber band ligation for hemorrhoids: Prospective, randomized trial of use of local anesthetic injection
Authors
KeywordsHemorrhoids
Lignocaine injection
Pain
Rubber band ligation
Issue Date1999
PublisherSpringer New York LLC. The Journal's web site is located at http://www.springerlink.com/content/0012-3706/
Citation
Diseases Of The Colon And Rectum, 1999, v. 42 n. 3, p. 363-366 How to Cite?
AbstractPURPOSE: Rubber band ligation is a common office procedure for hemorrhoids. Triple rubber band ligation in a single session has been shown to be a safe and economical way of treating hemorrhoids. However, postligation discomfort after triple rubber band ligation is not uncommon. The aim of this study was to evaluate the effectiveness of local anesthetic injection to the banded hemorrhoidal tissue in reduction postligation discomfort. METHODS: Patients attending an outpatient clinic for symptomatic hemorrhoids suitable for triple rubber band ligation were randomly assigned to two groups. In the treatment group rubber band ligation was performed at three columns of hemorrhoids, and 1 to 2 ml of 2 percent lignocaine was injected into the banded hemorrhoidal tissue. In the control group triple rubber band ligation was preformed in a similar manner, but local anesthetic was not given. Patients were followed up by telephone at the second week and in the clinic after six weeks. RESULTS: From April to August 1996, 101 patients entered the trial and were treated with triple rubber band ligation. Sixty-two patients were randomly assigned to the local anesthetic injection group and 39 to the control group. Overall good to excellent results occurred in 89 percent of patients, and there was no difference between the two groups. Postligation pain occurred in 26 and 20 percent of patients in the treatment and control groups, respectively (P > 0.05). Postligation tenesmus occurred in 32 and 41 percent of patients in the treatment and control groups, respectively (P > 0.05). No patients suffered from septic complications or bleeding that required transfusion. CONCLUSION: Triple rubber band ligation in a single session is a safe, economical, and effective way of treating symptomatic hemorrhoids. Postligation pain and tenesmus occurred in 24 and 37 percent, respectively. Discomfort was usually tolerable. Local anesthetic injection to the banded hemorrhoidal tissue did not help to reduce postligation discomfort.
Persistent Identifierhttp://hdl.handle.net/10722/83276
ISSN
2015 Impact Factor: 3.739
2015 SCImago Journal Rankings: 2.077
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorLaw, WLen_HK
dc.contributor.authorChu, KWen_HK
dc.date.accessioned2010-09-06T08:39:06Z-
dc.date.available2010-09-06T08:39:06Z-
dc.date.issued1999en_HK
dc.identifier.citationDiseases Of The Colon And Rectum, 1999, v. 42 n. 3, p. 363-366en_HK
dc.identifier.issn0012-3706en_HK
dc.identifier.urihttp://hdl.handle.net/10722/83276-
dc.description.abstractPURPOSE: Rubber band ligation is a common office procedure for hemorrhoids. Triple rubber band ligation in a single session has been shown to be a safe and economical way of treating hemorrhoids. However, postligation discomfort after triple rubber band ligation is not uncommon. The aim of this study was to evaluate the effectiveness of local anesthetic injection to the banded hemorrhoidal tissue in reduction postligation discomfort. METHODS: Patients attending an outpatient clinic for symptomatic hemorrhoids suitable for triple rubber band ligation were randomly assigned to two groups. In the treatment group rubber band ligation was performed at three columns of hemorrhoids, and 1 to 2 ml of 2 percent lignocaine was injected into the banded hemorrhoidal tissue. In the control group triple rubber band ligation was preformed in a similar manner, but local anesthetic was not given. Patients were followed up by telephone at the second week and in the clinic after six weeks. RESULTS: From April to August 1996, 101 patients entered the trial and were treated with triple rubber band ligation. Sixty-two patients were randomly assigned to the local anesthetic injection group and 39 to the control group. Overall good to excellent results occurred in 89 percent of patients, and there was no difference between the two groups. Postligation pain occurred in 26 and 20 percent of patients in the treatment and control groups, respectively (P > 0.05). Postligation tenesmus occurred in 32 and 41 percent of patients in the treatment and control groups, respectively (P > 0.05). No patients suffered from septic complications or bleeding that required transfusion. CONCLUSION: Triple rubber band ligation in a single session is a safe, economical, and effective way of treating symptomatic hemorrhoids. Postligation pain and tenesmus occurred in 24 and 37 percent, respectively. Discomfort was usually tolerable. Local anesthetic injection to the banded hemorrhoidal tissue did not help to reduce postligation discomfort.en_HK
dc.languageengen_HK
dc.publisherSpringer New York LLC. The Journal's web site is located at http://www.springerlink.com/content/0012-3706/en_HK
dc.relation.ispartofDiseases of the Colon and Rectumen_HK
dc.rightsThe original publication is available at www.springerlink.com-
dc.subjectHemorrhoidsen_HK
dc.subjectLignocaine injectionen_HK
dc.subjectPainen_HK
dc.subjectRubber band ligationen_HK
dc.subject.meshAnesthetics, Local-
dc.subject.meshHemorrhoids - surgery-
dc.subject.meshInjections-
dc.subject.meshLigation-
dc.subject.meshPain, Postoperative-
dc.titleTriple rubber band ligation for hemorrhoids: Prospective, randomized trial of use of local anesthetic injectionen_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=0012-3706&volume=42&issue=3&spage=363&epage=366&date=1999&atitle=Triple+rubber+band+ligation+for+hemorrhoids:+prospective+randomized+trial+on+the+use+of+local+anesthetic+injectionen_HK
dc.identifier.emailLaw, WL: lawwl@hkucc.hku.hken_HK
dc.identifier.authorityLaw, WL=rp00436en_HK
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1007/BF02236354-
dc.identifier.pmid10223757-
dc.identifier.scopuseid_2-s2.0-0033004017en_HK
dc.identifier.hkuros39968en_HK
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-0033004017&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume42en_HK
dc.identifier.issue3en_HK
dc.identifier.spage363en_HK
dc.identifier.epage366en_HK
dc.identifier.isiWOS:000079116600014-
dc.publisher.placeUnited Statesen_HK
dc.identifier.scopusauthoridLaw, WL=7103147867en_HK
dc.identifier.scopusauthoridChu, KW=7402453653en_HK

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