Modified rubber band ligation for treatment of grade II/III hemorrhoids: clinical efficacy and safety evaluation—a retrospective study
Abstract Background Massive, delayed bleeding (DB) is the most common major complication of Rubber Band Ligation (RBL) for internal hemorrhoids caused by premature band slippage. In this study we modified conventional RBL to prevent early rubber band slippage and evaluated its clinical efficacy and...
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| Format: | Article |
| Language: | English |
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BMC
2022-06-01
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| Series: | BMC Surgery |
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| Online Access: | https://doi.org/10.1186/s12893-022-01688-8 |
| _version_ | 1811334644509966336 |
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| author | Jiazi Yu Jie Zhong Tao Peng Liangbin Jin Leibin Shen Mian Yang |
| author_facet | Jiazi Yu Jie Zhong Tao Peng Liangbin Jin Leibin Shen Mian Yang |
| author_sort | Jiazi Yu |
| collection | DOAJ |
| description | Abstract Background Massive, delayed bleeding (DB) is the most common major complication of Rubber Band Ligation (RBL) for internal hemorrhoids caused by premature band slippage. In this study we modified conventional RBL to prevent early rubber band slippage and evaluated its clinical efficacy and safety. Methods Study participants were consecutive patients with grade II or III internal hemorrhoids treated with RBL at Ningbo Medical Center of Lihuili Hospital from January 2019 to December 2020. Postoperative minor complications such as pain, swelling, anal edema, prolapse recurrence and major complications like DB were retrospectively reviewed. Results A total of 274 patients were enrolled, including 149 patients treated with modified RBL and 125 treated with conventional RBL. There was no statistically significant difference between the two groups at baseline. Five cases of postoperative DB have been observed in the conventional RBL group, compared to none in the modified ones, with a significant difference (P < 0.05). Within three months after surgery, 8 cases in the modified RBL group experienced a recurrence rate of 5.4%, whereas 17 patients in the conventional RBL group experienced a recurrence rate of 13.6%. The difference was statistically significant (P < 0.05). The VAS score, edema, and incidence of sensation of prolapse between the two groups were not significantly different at 3 and 7 days after surgery (P < 0.05). There were also no significant differences in HDSS and SHS scores between the two groups after surgery (P > 0.05). Conclusion Modified RBL may be associated with a lower rate of complications, especially with lower DB rate in comparison with standard RBL. Further studies in larger samples and different design are necessary to confirm these results. |
| first_indexed | 2024-04-13T17:12:07Z |
| format | Article |
| id | doaj.art-a93588bb0fa84915903c1d92c1f76c1f |
| institution | Directory Open Access Journal |
| issn | 1471-2482 |
| language | English |
| last_indexed | 2024-04-13T17:12:07Z |
| publishDate | 2022-06-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Surgery |
| spelling | doaj.art-a93588bb0fa84915903c1d92c1f76c1f2022-12-22T02:38:16ZengBMCBMC Surgery1471-24822022-06-012211710.1186/s12893-022-01688-8Modified rubber band ligation for treatment of grade II/III hemorrhoids: clinical efficacy and safety evaluation—a retrospective studyJiazi Yu0Jie Zhong1Tao Peng2Liangbin Jin3Leibin Shen4Mian Yang5Department of General Sugury, Ningbo Medical Treatment Centre Li Huili HospitalDepartment of General Surgery, Qianhu HospitalDepartment of General Sugury, Ningbo Medical Treatment Centre Li Huili HospitalDepartment of General Sugury, Ningbo Medical Treatment Centre Li Huili HospitalDepartment of General Sugury, Ningbo Medical Treatment Centre Li Huili HospitalDepartment of General Sugury, Ningbo Medical Treatment Centre Li Huili HospitalAbstract Background Massive, delayed bleeding (DB) is the most common major complication of Rubber Band Ligation (RBL) for internal hemorrhoids caused by premature band slippage. In this study we modified conventional RBL to prevent early rubber band slippage and evaluated its clinical efficacy and safety. Methods Study participants were consecutive patients with grade II or III internal hemorrhoids treated with RBL at Ningbo Medical Center of Lihuili Hospital from January 2019 to December 2020. Postoperative minor complications such as pain, swelling, anal edema, prolapse recurrence and major complications like DB were retrospectively reviewed. Results A total of 274 patients were enrolled, including 149 patients treated with modified RBL and 125 treated with conventional RBL. There was no statistically significant difference between the two groups at baseline. Five cases of postoperative DB have been observed in the conventional RBL group, compared to none in the modified ones, with a significant difference (P < 0.05). Within three months after surgery, 8 cases in the modified RBL group experienced a recurrence rate of 5.4%, whereas 17 patients in the conventional RBL group experienced a recurrence rate of 13.6%. The difference was statistically significant (P < 0.05). The VAS score, edema, and incidence of sensation of prolapse between the two groups were not significantly different at 3 and 7 days after surgery (P < 0.05). There were also no significant differences in HDSS and SHS scores between the two groups after surgery (P > 0.05). Conclusion Modified RBL may be associated with a lower rate of complications, especially with lower DB rate in comparison with standard RBL. Further studies in larger samples and different design are necessary to confirm these results.https://doi.org/10.1186/s12893-022-01688-8HemorrhoidsRubber band ligationcomplicationsCurative effect |
| spellingShingle | Jiazi Yu Jie Zhong Tao Peng Liangbin Jin Leibin Shen Mian Yang Modified rubber band ligation for treatment of grade II/III hemorrhoids: clinical efficacy and safety evaluation—a retrospective study BMC Surgery Hemorrhoids Rubber band ligation complications Curative effect |
| title | Modified rubber band ligation for treatment of grade II/III hemorrhoids: clinical efficacy and safety evaluation—a retrospective study |
| title_full | Modified rubber band ligation for treatment of grade II/III hemorrhoids: clinical efficacy and safety evaluation—a retrospective study |
| title_fullStr | Modified rubber band ligation for treatment of grade II/III hemorrhoids: clinical efficacy and safety evaluation—a retrospective study |
| title_full_unstemmed | Modified rubber band ligation for treatment of grade II/III hemorrhoids: clinical efficacy and safety evaluation—a retrospective study |
| title_short | Modified rubber band ligation for treatment of grade II/III hemorrhoids: clinical efficacy and safety evaluation—a retrospective study |
| title_sort | modified rubber band ligation for treatment of grade ii iii hemorrhoids clinical efficacy and safety evaluation a retrospective study |
| topic | Hemorrhoids Rubber band ligation complications Curative effect |
| url | https://doi.org/10.1186/s12893-022-01688-8 |
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