Argibay H, Guillen Y, Bravo P, Sardiñas C

Language: Spanish
References: 24
Page: 20-26
PDF size: 265.28 Kb.

ABSTRACT

Introduction: the non-surgical treatment of hemorrhoids is comprised of a wide variety of procedures, among which the elastic band ligature stands out, which is currently considered the selected treatment for non-complicated hemorrhoids. Purposes: To evaluate the multiband high ligature as treatment of grade I, II and III bleeding hemorrhoids, determining the pain, persistence of symptoms, complications and morbidity. Methods: Non randomizing prospective, descriptive study was the way to evaluate the patients with grade I, II and III bleeding hemorrhoids according to the Goligher grades, who attended the General Surgery Service of the Dr. Jesus Yerena Hospital, during the period beginning in May 2008 and ending in September 2008. A sole session of banding was made, previous mechanical preparation. All patients were evaluated at 24 hours, 48 hours and a month later of procedure. Results: There were 26 ambulatory patients (13 males and 13 females), whose principal clinic was bleeding in 100% of the cases; a unique banding session with 2.96 bands per patient was applied. There were 1patient with grade I, 18 patients with grade II and 7 patients with grade III. 30.8% of the patients presented limited bleeding within the first 24 hours, 23.1% presented limited bleeding by the 48 hours, and 7.7% presented limited bleeding by the month (p=0.04). 50% of the patients presented pain within the first 24 hours with an average of 4.07 pursuant to the pain analogical scale, (p=0.001), 46.15% of the patients presented pain within the first 48 hours, with an average of 2.50 of pain according to the pain analogical scale, (p=0.001), and 11.5% of the patients presented pain within the month, with an average of 1.6 of pain corresponding to the pain analogical scale. There were no complications in ours study. Discussion: the multiband ligature is the idea treatment for grade I and II bleeding hemorrhoids due to the low rate of complications and because is a simple, effective, low cost and ambulatory method. However, it cannot be disregarded the usefulness of this method, to treat patients with grade III and IV bleeding hemorrhoids that cannot be surgery intervened for having associated morbidity.

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