PMID- 33081476
OWN - NLM
STAT- MEDLINE
DCOM- 20210514
LR  - 20210514
IS  - 2224-5839 (Electronic)
IS  - 2224-5820 (Linking)
VI  - 10
IP  - 2
DP  - 2021 Feb
TI  - Efficacy of modified rubber band ligation in the treatment of grade III internal 
      hemorrhoids.
PG  - 1191-1197
LID - 10.21037/apm-19-657 [doi]
AB  - BACKGROUND: Traditional rubber band ligation can improve the symptoms of 
      hemorrhoids, the techniques used vary among centers and the degree of hemorrhoids 
      may also affect the therapeutic efficacy and postoperative outcome, especially 
      for patients with grade III hemorrhoids (hemorrhoid prolapses). This study aimed 
      to investigate the clinical efficacy of modified rubber band ligation (MRBL) in 
      the treatment of grade III internal hemorrhoids. METHODS: A total of 120 patients 
      with grade III internal hemorrhoids were randomly assigned to receive MRBL or 
      Milligan-Morgan haemorrhoidectomy (MMH) (n=60 per group). The post-operative 
      pain, bleeding, urine retention and feeling of anal distension were recorded, and 
      the resting anal pressure (RAP) and post-operative recurrence rate were compared 
      between two groups. RESULTS: The post-operative pain, bleeding and urine 
      retention in the MRBL group were improved significantly as compared with the MMH 
      group (P<0.05), but the feeling of anal distension was similar between them 
      (P>0.05). The RAP remained unchanged after MRBL, but the RAP at 1 month after 
      surgery in the MMH group increased markedly (P<0.01) as compared with that before 
      surgery and was significantly higher than that in the MRBL group (P<0.01). The 
      post-operative recurrence rate was comparable between two groups (P>0.05). 
      CONCLUSIONS: As compared with traditional MMH, MRBL is effective to attenuate the 
      post-operative pain and other discomforts and stabilize the RA. Thus, MRBL is an 
      ideal choice for the treatment of grade III internal hemorrhoids.
FAU - Jin, Lei
AU  - Jin L
AD  - Department of Coloproctology, Yueyang Hospital of Integrated Traditional Chinese 
      and Western Medicine, Shanghai University of Traditional Chinese Medicine, 
      Shanghai, China.
FAU - Yang, Haojie
AU  - Yang H
AD  - Department of Coloproctology, Yueyang Hospital of Integrated Traditional Chinese 
      and Western Medicine, Shanghai University of Traditional Chinese Medicine, 
      Shanghai, China.
FAU - Qin, Kaijian
AU  - Qin K
AD  - Department of Coloproctology, Yueyang Hospital of Integrated Traditional Chinese 
      and Western Medicine, Shanghai University of Traditional Chinese Medicine, 
      Shanghai, China.
FAU - Li, Ying
AU  - Li Y
AD  - Department of Coloproctology, Yueyang Hospital of Integrated Traditional Chinese 
      and Western Medicine, Shanghai University of Traditional Chinese Medicine, 
      Shanghai, China.
FAU - Cui, Can
AU  - Cui C
AD  - Department of Coloproctology, Yueyang Hospital of Integrated Traditional Chinese 
      and Western Medicine, Shanghai University of Traditional Chinese Medicine, 
      Shanghai, China.
FAU - Wu, Renjie
AU  - Wu R
AD  - Department of Coloproctology, Yueyang Hospital of Integrated Traditional Chinese 
      and Western Medicine, Shanghai University of Traditional Chinese Medicine, 
      Shanghai, China.
FAU - Wang, Zhenyi
AU  - Wang Z
AD  - Department of Coloproctology, Yueyang Hospital of Integrated Traditional Chinese 
      and Western Medicine, Shanghai University of Traditional Chinese Medicine, 
      Shanghai, China. drxinhuo@163.com.
FAU - Wu, Jiong
AU  - Wu J
AD  - Department of Coloproctology, Yueyang Hospital of Integrated Traditional Chinese 
      and Western Medicine, Shanghai University of Traditional Chinese Medicine, 
      Shanghai, China. tcmoctober9@163.com.
LA  - eng
PT  - Journal Article
PT  - Randomized Controlled Trial
DEP - 20201012
PL  - China
TA  - Ann Palliat Med
JT  - Annals of palliative medicine
JID - 101585484
SB  - IM
MH  - *Digestive System Surgical Procedures
MH  - *Hemorrhoids/surgery
MH  - Humans
MH  - Ligation
MH  - Pain, Postoperative
MH  - Treatment Outcome
OTO - NOTNLM
OT  - Milligan-Morgan haemorrhoidectomy
OT  - Rubber band ligation
OT  - grade III internal hemorrhoids
OT  - modified technique
EDAT- 2020/10/22 06:00
MHDA- 2021/05/15 06:00
CRDT- 2020/10/21 05:36
PHST- 2019/12/24 00:00 [received]
PHST- 2020/09/02 00:00 [accepted]
PHST- 2020/10/22 06:00 [pubmed]
PHST- 2021/05/15 06:00 [medline]
PHST- 2020/10/21 05:36 [entrez]
AID - apm-19-657 [pii]
AID - 10.21037/apm-19-657 [doi]
PST - ppublish
SO  - Ann Palliat Med. 2021 Feb;10(2):1191-1197. doi: 10.21037/apm-19-657. Epub 2020 
      Oct 12.