Haemorrhoids - Colorectal Surgeon

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Rubber Band Ligation Tight band at the apex Better than sclerotherapy Suitable Grade-II and III piles Complications pain bleeding urinary retention sepsis Baron’s ligator St. Mark’s (Seward) Applicator 500 cases (G-II- 255, G- III-218, G- IV-27) RBL- 24 months. 88 % success 18.8 % complications (pain,bleed) Recurrence 11.9%. Vassilios. Digestive Surgery 2000;17:71-76
Suction band Ligation O’Regan disposable banding system 1852 cases (2002-2004) G-I-53 G-II-1527 G-III- 143 G-IV-129 Bleed:8, Thrombosis:5,Pain:3 Cleator IGM. US Gastro review 2005 Banding + Sclerotherapy Grade- II-255 pts. 4 years More cases symptom free Less number of II procedure Kanellos etal.<strong>Colorectal</strong> Dis2003;5:133-8
Page 1 and 2: Haemorrhoids Current concepts in ma
Page 3 and 4: Classification E I IE E Grade - I
Page 5 and 6: • 35 year old male. • Bright re
Page 7 and 8: Differential Diagnosis Rectal poly
Page 9: Sclerotherapy Injection of scleros
Page 13 and 14: Coagulation Coagulation of pile ti
Page 15 and 16: Sutureless closed haemorrhoidectomy
Page 17 and 18: Open haemorrhoidectomy Milligan &

Haemorrhoids - Colorectal Surgeon

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