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Rubber Band Ligation of Hemorrhoids of First, Second, and Third Degree
علاج البواسير من الدرجة الأولى والثانية والثالثة بطريقة الربط بالحلقات المطاطية

Authors: Harith Mustafa Alkhateeb د.حارث مصطفى الخطيب --- Waleed Qahtan Rajab د. وليد قحطان رجب
Journal: IRAQI JOURNALOF COMMUNITY MEDICINE المجلة العراقية لطب المجتمع ISSN: 16845382 Year: 2010 Volume: 23 Issue: 1 Pages: 59-63
Publisher: Al-Mustansyriah University الجامعة المستنصرية

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Abstract

Background:Haemorrhoids constitute a frequent clinical problem. A variety of conservative treatment options have been proposed, the majority of which can be safely performed on an outpatient basis, like the rubber band ligation RBL which is selected in this study .[1] The aim of the study is to prove the possibility and benefit of the procedure as a treatment for the first ,second and third degrees of haemorrhoids .Materials & Methods :For nine years , 540 patients with different degrees of haemorroids were submitted to rubber band ligation as a treatment for their haemorrhoids by using Barron apparatus .Results:509 patients ( 94 % ) did well , 31 patients (6%) did not feel better, Three of them ( o.5 % ) did open haemorrhoidectomy , while 28 patients (5%) kept on conservative measures. Conclusion: Rubber band ligation is reliable and safe out door procedure for the 1st , 2nd , and 3rd degree haemorrhoids .2 Keywords:Haemorrhoids , Rubber band ligation RBL .

خلفية الدراسة:تعتبر البواسير حالة مرضية شائعة ,وقد أوجدت عدة طرق علاجية لتجنب إجراء العملية الجراحية , وإحدى هذه الطرق هي ربط البواسير بواسطة الحلقات المطاطية في العيادة الخارجية, وهي موضوع هذه الدراسة. هدف الدراسة:بيان إمكانية ربط جميع البواسير عند المريض خلال جلسة واحدة حيث كانت عادة تتم خلال جلستين لربط باسورتين خلال الجلسة الواحدة.بيان استفادة بواسير الدرجة الثالثة من الطريقة ذاتهاطريقة العمل:خلال تسعة سنوات تم علاج 540 حالة بواسير من مختلف الدرجات بطريقة الربط بالحلقات المطاطية باستخدام جهاز بارون لتوضيع الحلقات المطاطية في العيادة الخارجية.النتائج:من مجموع 540 مريض خضعوا للعلاج بربط البواسير بالحلقات المطاطي, 509 (94%) مريض حصلوا على تحسن كامل, 31 (6%) مريض لم يستفيدوا من الطريقة, ثلاثة من هؤلاء (0.5%) خضعوا لعملية جراحية لاستئصال البواسير , بينما 28 (5%) مريض ابقوا على العلاج التحفظيالاستنتاج:طريقة ربط البواسير بالحلقات المطاطية هي طريقة معتمدة وفعالة وأمينة ورخيصة التكاليف وتجرى بالعيادة الخارجية للبواسير من الدرجة الأولى والثانية والثالثة وخلال جلسة واحدة.


Article
Haemorrhoidectomy: a Comparative Study of Open & Closed Methods

Author: Hamid I. Jasim
Journal: Mustansiriya Medical Journal مجلة المستنصرية الطبية ISSN: 20701128 22274081 Year: 2009 Volume: 8 Issue: 1 Pages: 23-26
Publisher: Al-Mustansyriah University الجامعة المستنصرية

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Abstract

Background: Haemorrhoidectomy is an operation for third and fourth degree hemorrhoids Aim: To compare the closed (Ferguson) and open (Milligan-Morgan) methods. Methods: A prospective study, eighty patients admitted with hemorrhoids were randomly allocated to either open or closed methods. Results: Mean operative time was shorter in the open method. Analgesic requirement were less in the closed method. Healing time was shorter in the closed method. Conclusions: The closed technique is associated with less pain during early post- operative period and faster healing.

Keywords

Haemorrhoids --- open --- closed --- pain --- healing time.


Article
Haemorrhoidectomy: a Comparative Study of Open & Closed Methods

Authors: Hamid I. Jasim --- Mohammed H. Al-Alwan
Journal: Mustansiriya Medical Journal مجلة المستنصرية الطبية ISSN: 20701128 22274081 Year: 2008 Volume: 7 Issue: 2 Pages: 23-26
Publisher: Al-Mustansyriah University الجامعة المستنصرية

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Abstract

Background: Haemorrhoidectomy is an operation for third and fourth degree hemorrhoidsAim: To compare the closed (Ferguson) and open (Milligan-Morgan) methods.Methods: A prospective study, eighty patients admitted with hemorrhoids were randomly allocated to either open or closed methods.Results: Mean operative time was shorter in the open method. Analgesic requirement were less in the closed method. Healing time was shorter in the closed method.Conclusions: The closed technique is associated with less pain during early post operative period and faster healing.

Keywords

Haemorrhoids --- open --- closed --- pain --- healing time

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