Abstract
We develop a new technique for the prolapse and bleeding internal hemorrhoids (Goligher III) such as fiberscopic hemorrhoidal ligation (FHL) . The technique of FHL is as follows. An upper GI tract fiberscope is employed and the scope is retroflexed in the rectum and the hemorrhoids are ligated using Stiegmann-Goff ligator. A one week, 2-3 ml of 1% aethoxysklerol (AS) is injected between every hemorrhoids submucosally. We performed FHL in total of 15 cases and excellent results (complete disappearance of chief complaints) were obtained in 15 cases (100%) . We consider that this new technique allows better visualization and less pain compare to conventional treatment and assumed to be useful in non-oprative hemorrhoidal therapy.
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