PMID: 7032489Oct 1, 1981Paper

The treatment of second degree haemorrhoids by injection, rubber band ligation, maximal anal dilatation, and haemorrhoidectomy: a prospective clinical trial

The Australian and New Zealand Journal of Surgery
F C ChengG B Ong

Abstract

One hundred and twenty patients with confirmed second degree haemorrhoids were randomly allocated to four treatment groups; injection, rubber band ligation, maximal anal dilatation, and haemorrhoidectomy. Each groups consisted of 30 patients. All patients were regularly followed up for at least one year. Assessment at one year showed that haemorrhoidectomy "cured" the haemorrhoids in 29 out of 30 patients. Rubber band ligation relieved 25 out of 30 and maximal anal dilatation 24 out of 30. Injection was the least effective treatment, and relieved 18 of the 30 patients, with a cure rate of 60% only. Haemorrhoidectomy caused pain in all cases, anal stenosis in two, postoperative haemorrhage in two, and the patients required an average hospital stay of 11.5 days and an average of a further 15.5 days off work. Rubber band ligation was painless in 26 patients out of 30, and maximal anal dilatation was painless in 25 our of 30. There were no postoperative complications in the latter two treatment groups. Haemorrhoidectomy is good in "curing" the disease, but the higher possibility of postoperative pain and complications and longer hospital stay would not justify its use in the treatment of second degree haemorrhoids. Both rubber band...Continue Reading

References

Oct 20, 1979·British Medical Journal·M R KeighleyJ Alexander-Williams
Dec 1, 1971·The British Journal of Surgery·A R GrovesJ A Williams
Apr 1, 1963·American Journal of Surgery·J BARRON

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Citations

Jul 1, 1995·Diseases of the Colon and Rectum·H M MacRae, R S McLeod
Feb 1, 1987·Diseases of the Colon and Rectum·D G Wechter, G K Luna
Jan 29, 2009·Gastroenterología y hepatología·Pablo Alonso-CoelloJosep Maria Piqué
Nov 26, 2008·World Journal of Gastroenterology : WJG·Ayman-M El NakeebMohamed-E Farid
Nov 13, 2015·Postgraduate Medical Journal·J R F Hollingshead, R K S Phillips
Jul 22, 2005·The Cochrane Database of Systematic Reviews·V ShanmugamM A Loudon
Aug 31, 2016·The Indian Journal of Surgery·Fahmi Omer Aram
Feb 19, 2020·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·R R van TolS O Breukink

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