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Langenbeck's Archives of Surgery
Published in: Langenbeck's Archives of Surgery 1/2023

01-12-2023 | Hemorrhoids | Research

Quality of life and outcomes after rubber band ligation for haemorrhoidal disease

Authors: Paula Pastor Peinado, Juan Ocaña, Pedro Abadía Barno, Araceli Ballestero Pérez, Juan Diego Pina Hernández, Gloria Rodríguez Velasco, Irene Moreno Montes, Elena Mendía Conde, Estela Tobaruela de Blas, José María Fernández Cebrián, Javier Die Trill, Juan Carlos García Pérez

Published in: Langenbeck's Archives of Surgery | Issue 1/2023

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Abstract

Purpose

The main objective of this study was to assess the impact on quality of life after rubber band ligation (RBL) in patients with symptomatic grade II-III haemorrhoids who did not improve after 6 months of conservative treatment, using quality of life scores.

Methods

This was a prospective cohort observational study where patients with haemorrhoidal disease and indication for RBL were included between December 2019 and December 2020. RBL was offered as first-line treatment in this group. Patient´s quality of life was assessed by scores: HDSS (Hemorrhoidal Disease Symptom Score) and SHS (Short Health Scale).Secondary objectives were: to evaluate the rate of patients requiring one or more RBL procedures, to establish the overall success rate of RBL and to analyse complications.

Results

A total of 100 patients were finally included. Regarding the impact on quality of life after RBL, a significant reduction was found in the HDSS and SHS scores (p < 0.001). The main improvement was found in the first month and it was maintained until the sixth month. A high degree of satisfaction with the procedure was reported by 76% of patients. The overall success rate of banding was 89%. A 12% complication rate was detected, the most frequent complication was severe anal pain (58.3%) and self-limiting bleeding (41.7%).

Conclusion

Rubber band ligation, as a treatment for symptomatic grade II-III haemorrhoids that do not respond to medical treatment, leads to a significant improvement in patients' symptoms and quality of life. It also has a high degree of satisfaction between patients.
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Metadata
Title
Quality of life and outcomes after rubber band ligation for haemorrhoidal disease
Authors
Paula Pastor Peinado
Juan Ocaña
Pedro Abadía Barno
Araceli Ballestero Pérez
Juan Diego Pina Hernández
Gloria Rodríguez Velasco
Irene Moreno Montes
Elena Mendía Conde
Estela Tobaruela de Blas
José María Fernández Cebrián
Javier Die Trill
Juan Carlos García Pérez
Publication date
01-12-2023
Publisher
Springer Berlin Heidelberg
Keyword
Hemorrhoids
Published in
Langenbeck's Archives of Surgery / Issue 1/2023
Print ISSN: 1435-2443
Electronic ISSN: 1435-2451
DOI
https://doi.org/10.1007/s00423-023-02990-6

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