Hemorrhoidectomy versus rubber band ligation in grade III hemorrhoidal disease
| Autor: | Ingrid J. M. Han-Geurts, Michiel T. J. Bak, Willem A. Bemelman, Lisette Dekker, Richelle J. F. Felt-Bersma |
|---|---|
| Přispěvatelé: | Gastroenterology and hepatology, Amsterdam Gastroenterology Endocrinology Metabolism, Graduate School, Surgery |
| Jazyk: | angličtina |
| Rok vydání: | 2022 |
| Předmět: |
Hemorrhoidectomy
medicine.medical_specialty business.industry Long term follow up medicine.medical_treatment Gastroenterology Reintervention Retrospective cohort study hemic and immune systems Prom Rubber band ligation medicine.disease Hemorrhoids Surgery Hemorrhoidal disease medicine Referral center Medical history Patient outcome assessment business |
| Zdroj: | Dekker, L, Bak, M T J, Bemelman, W A, Felt-Bersma, R J F & Han-Geurts, I J M 2022, ' Hemorrhoidectomy versus rubber band ligation in grade III hemorrhoidal disease : a large retrospective cohort study with long-term follow-up ', Annals of Coloproctology, vol. 38, no. 2, pp. 146-152 . https://doi.org/10.3393/ac.2020.01011.0144 Annals of Coloproctology, 38(2), 146-152. Korean Society of Coloproctology |
| ISSN: | 2287-9714 |
| DOI: | 10.3393/ac.2020.01011.0144 |
| Popis: | Purpose: Standard therapy for grade III hemorrhoids is rubber band ligation (RBL) and hemorrhoidectomy. The long-term clinical and patient-reported outcomes of these treatments in a tertiary referral center for proctology were evaluated.Methods: A retrospective analysis was performed in all patients with grade III hemorrhoids who were treated between January 2013 and August 2018. Medical history, symptoms, reinterventions, complications, and patient-reported outcome measurements (PROM) were retrieved from individual electronic patient files, which were prospectively entered as standard questionnaires in our clinic.Results: Overall, 327 patients (163 males) were treated by either RBL (n=182) or hemorrhoidectomy (n=145). The median follow-up was 44 months. The severity of symptoms and patient preference led to the treatment of choice. The most commonly experienced symptoms were prolapse (83.2%) and blood loss (69.7%). Hemorrhoidectomy was effective in 95.9% of the cases as a single procedure, while a single RBL procedure was only effective in 51.6%. In the RBL group, 34.6% received a second RBL session. Complications were not significantly different, 11 (7.6%) after hemorrhoidectomy versus 6 (3.3%) after RBL. However, 4 fistulas developed after hemorrhoidectomy and none after RBL (P |
| Databáze: | OpenAIRE |
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