Views: 1,404 | Downloads:
20
| Responses: 0
| XML | Respond to this article | Alert & updates | Request permissions | Email to a friend |
Original ArticleOpen Access
Comarative Study Between Multiple and Single Rubber Band Ligation in One Session for Bleeding Internal Hemorrhoids : A Prospective Study
Chaleoykitti B 
Objective
: The aim of this study was to compare the cessation of bleeding and the com-
plications between multiple and single ligation using high ligation technique.
Material and Method
: All first-visit patients with bleeding internal hemorrhoids were
studied and randomly divided into multiple and single ligation groups. High ligation technique was
used. Patients visited the clinic in the second week and were invited to visit the clinic or completed
questionnaires after one year.
Results
: 109 patients were included in the study. 61 patients had multiple ligation and 48
patients had single ligation. The cessation of bleeding in one week occurred in 96.7 per cent of
patients in the multiple group and 79 per cent of patients in the single group (p = 0.004). There
were no differences between the multiple group and single group concerning postligation pain and
tenesmus (6.5%
vs
2%, p = 0.532), urinary hesitancy and frequency (6.5%
vs
4%, p = 0.904), and
rebleeding in one year (27.9%
vs
34%, p= 0.710). No major complications such as massive bleed-
ing and pelvic sepsis were noted.
Conclusions
: Multiple ligation of bleeding internal hemorrhoids in one session can stop
bleeding better than single ligation with no more complications.
Key word
: Hemorrhoids, Rubber Band Ligation, Complications
: The aim of this study was to compare the cessation of bleeding and the com-
plications between multiple and single ligation using high ligation technique.
Material and Method
: All first-visit patients with bleeding internal hemorrhoids were
studied and randomly divided into multiple and single ligation groups. High ligation technique was
used. Patients visited the clinic in the second week and were invited to visit the clinic or completed
questionnaires after one year.
Results
: 109 patients were included in the study. 61 patients had multiple ligation and 48
patients had single ligation. The cessation of bleeding in one week occurred in 96.7 per cent of
patients in the multiple group and 79 per cent of patients in the single group (p = 0.004). There
were no differences between the multiple group and single group concerning postligation pain and
tenesmus (6.5%
vs
2%, p = 0.532), urinary hesitancy and frequency (6.5%
vs
4%, p = 0.904), and
rebleeding in one year (27.9%
vs
34%, p= 0.710). No major complications such as massive bleed-
ing and pelvic sepsis were noted.
Conclusions
: Multiple ligation of bleeding internal hemorrhoids in one session can stop
bleeding better than single ligation with no more complications.
Key word
: Hemorrhoids, Rubber Band Ligation, Complications
Download:
PDF