RUBBER BAND LIGATION FOR HEMORRHOIDS (review)

V N Ektov,V A Muzalkov,A V Kurkin,К A Somov

doi:10.33878/2073-7556-2019-18-4-151--160

V N Ektov, V A Muzalkov + Show 2 more

Open Access

https://doi.org/10.33878/2073-7556-2019-18-4-151--160

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Journal: Koloproktologia	Publication Date: Dec 5, 2019
Citations: 1	License type: cc-by

Affiliation: Voronezh State Pedagogical University

Abstract

Rubber band ligation is one of the most common and effective minimally invasive methods of treatment of chronic hemorrhoids. An analysis of the experience gained in the use of latex ligation makes it possible to evaluate the advantages and disadvantages of this technique and suggest new options for its implementation. One of the main advantages of rubber band ligation is the radicality of the procedure, which provides the closed removal of internal hemorrhoid piles, which makes it possible to standardize the widespread use of this technique in outpatient practice. When performing the procedure, tool kits of various designs are used, methods of one-stage and multi-stage ligation are used, various technical options are available for applying latex ligatures that affect the pathogenetic factors of hemorrhoidal disease. Optimization of options for the use of rubber band ligation allows to expand the range of use of this technique and provides a rational choice of individual approach.

Highlights

Rubber band ligation is one of the most common and effective minimally invasive methods of treatment of chronic hemorrhoids
One of the main advantages of rubber band ligation is the radicality of the procedure, which provides the closed removal of internal hemorrhoid piles, which makes it possible to standardize the widespread use of this technique in outpatient practice
Optimization of options for the use of rubber band ligation allows to expand the range of use of this technique and provides a rational choice of individual approach

Summary

Introduction

Rubber band ligation is one of the most common and effective minimally invasive methods of treatment of chronic hemorrhoids. Технические особенности латексного лигирования внутренних геморроидальных узлов Процедуру осуществляют при помощи аноскопа диаметром 20-25 мм и длиной 60-65 мм. Кроме того, при использовании методики многоэтапного лигирования в процессе лечения существует реальный риск возникновения кровотечений из необработанных после первой процедуры геморроидальных узлов. Проведенный в 2015 году мета-анализ с оценкой лечения 387 пациентов показал, что применение местной анестезии при выполнении латексного лигирования способствует уменьшению постпроцедурного болевого синдрома [26].

Results

Conclusion