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[Rubber band ligation of hemorrhoids in ambulatory care].

OBJECTIVE
The aim of the study was to evaluate the outcome of elastic ligation in internal haemorrhoids in our out-patient setting.


METHODS
The authors performed elastic ligation of haemorrhoids in 77 patients, and of these 71 (92%) procedures were accomplished in out-patients. The procedure was indicated in second and third-degree symptomatic haemorrhoids and was carried out without local anaesthesia with the aid a Seward Medical applicator. Typically, one haemorrhoidal node was treated per one session. All patients were clinically examined two weeks after completion of treatment.


RESULTS
The success rate of the procedure was 91%. The results were analyzed by a questionnaire. The most common unpleasant symptoms were pain and tenesms. Bleeding occurred in 6 patients. There was no serious life-threatening complication.


CONCLUSION
Based on our observation we consider band ligation as a reliable therapy for symptomatic internal haemorrhoids in out-patients. We suggest reminding patients of possible of complications, unpleasant symptoms sensations restricting their daily activity on the first days after the procedure.