12/18/2023 0 Comments Project hospital band ligation![]() defined DB as blood loss over 200 mL and Kim et al. Major complications are massive, delayed bleeding (DB), severe thrombosis with pain, severe thrombosis with urinary retention. Self-limiting minor complications are pain, bleeding, band slippage, urinary retention. For this reason, RBL is recommended as the initial mode of therapy for grades 1 to 3 hemorrhoids.īut ligation of the rubber band is also a kind of surgical treatment, and it is not free from complications that may be minor or major. RBL is cost-effective compared with hemorrhoidal artery ligation, stapled hemorrhoidopexy, or surgical hemorrhoidectomy and doesn’t alter anorectal function. Furthermore, it allows the destruction of internal hemorrhoids, just as in the standard ligature and excision method of hemorrhoidectomy. After RBL, the anus remains dry, and there is no need to put the gauze into the perianal area. Furthermore, patients can return earlier to daily life. Unlike hemorrhoidectomy, RBL does not destroy the perianal skin, exquisitely sensitive squamous, and transitional epithelium which reduces the risk of complications e.g., pain, the incidence of delayed wound healing, wound stricture, and skin tag. Thereafter, the rubber band ligation (RBL) is widely used as an alternative method for the treatment of symptomatic internal hemorrhoids and has replaced hemorrhoidectomy in 44.8% of cases. ![]() For loading an elastic band on the drum, the principle by Gravlee and Jones has been adopted, which was used for tying umbilical cord. ![]() ![]() In 19, Barron published his innovation for ligation of internal hemorrhoids, consisting of small-caliber elastic bands designated as Latex O rings. For the treatment of the bleeding internal hemorrhoids, Blaisdell exhibited in 1954 and published in 1958 a ligation method with silk after pulling hemorrhoids through the metal drum. ![]()
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