A CLINICAL TRIAL OF COMBINED INFRARED COAGULATION AND RUBBER BAND LIGATION AS AN ALTERNATIVE TO HAEMORRHOIDECTOMY IN THE MANAGEMENT OF THIRD- AND FOURTH-DEGREE HAEMORRHOIDS
Journal Title: Journal of Evidence Based Medicine and Healthcare - Year 2019, Vol 6, Issue 21
Abstract
BACKGROUND Purpose of this study is to show that for grade III & IV haemorrhoids, surgery can be avoided in selected group of patients. Fine faecal incontinence due to damage of anal cushion is a major concern of patients who under gone surgical procedures. Combined Infrared coagulation and rubber band ligation is completely safe and can be done as an office procedure. METHODS We have included 25 patients with grade III & IV haemorrhoids in this study. They were given 3 courses of infrared coagulation and rubber band ligation at an interval of 2 weeks for 8 weeks period. RESULTS 48% of patient had complete cure and 36% had improvement in symptoms and 16% had no improvement at all. CONCLUSIONS Management of grade III & IV normally involves haemorrhoidectomy. But combination of non-invasive procedure (infrared coagulation and rubber band ligation) shows symptoms free results in 48% of cases in this study. Most of the patients are not willing for surgical procedures due to excess apprehension regarding pain and incontinence. According to this study, surgery can be avoided in selected cases.
Authors and Affiliations
Thampan R. C, Dineshan P. P, Lakshmanan P. P
Keywords
Related Articles
- EP ID EP667278
- DOI 10.18410/jebmh/2019/309
- Views 51
- Downloads 0
MEAN PLATELET VOLUME (MPV) & OTHER PLATELET INDICES IN ACUTE MYOCARDIAL INFARCTION (AMI) & STABLE CORONARY ARTERY DISEASES (SCAD)
Myocardial infarction is the major cause of morbidity and mortality in industrialized countries. Platelet activation is a hallmark of acute coronary syndrome. An increased MPV, an indicator of larger and more reactive pl...
EFFICACY OF PREGABALIN IN IMMEDIATE POST-OPERATIVE PAIN CONTROL
Ant nociceptive treatment started before surgery is more effective in reducing postoperative pain than if started in early postoperative period. Pregabalin has demonstrated efficacy in clinical trials as pre-emptive anal...
A CORRELATIONAL STUDY BETWEEN CHANGES IN SERUM ELECTROLYTES (NA, K, CL, MG) AND ACUTE MYOCARDIAL INFARCTION COMPLICATION
BACKGROUND The term "arrhythmia" refers to any change from the normal sequence of electrical impulses. The electrical impulses may happen too fast, too slowly or erratically causing the heart to beat too fast, too slowly...
CORRELATION OF SERUM CHLORIDE LEVELS WITH 30 DAY MORTALITY IN HEART FAILURE PATIENTS
BACKGROUND Heart failure is commonly associated with electrolyte imbalances. Hyponatraemia has established prognostic role in heart failure, but association of hypochloraemia is still lacking. We wanted to study the impa...
COMPARATIVE STUDY BETWEEN BUPIVACAINE ALONE AND BUPIVACAINE WITH FENTANYL IN AXILLARY PLEXUS BLOCK FOR UPPER LIMB SURGERIES
BACKGROUND The addition of adjuncts like Neostigmine, opioids, midazolam, dexmedetomidine, hyaluronidase, clonidine etc., to local anaesthetics for brachial plexus block may enhance the quality and duration of analgesia....