대한대장항문학회

Since the introduction of hemorrhoidal ligation by Blaisdell and Barron, the rubber<br>band ligation has been reported to be a safe and effective treatment for symptomatic<br>hemorrhoids. It allows removal of a small amount of hemorrhoidal tissue with<br>subsequent fixation of the mucosa by scarring, and is thus ideally suited to second-and<br>third-decree hemorrhoids. Recently, fatalities have been resulted from soft tissue<br>infection following rubber band ligation.<br>Seventy-four patients of bleeding hemorrhoids were treated with rubber band ligation<br>at the Department of Surgery, Kyungpook National University Hospital from June 1982<br>to May 1989. The postligation symptoms and the long-term results were evaluated.<br>Of the 74 patients, 40 were men and 34 wemen, the mean age was 38.4 years.<br>The sites of bleeding were identified in 52 patients (70.2％)<br>As to the degree of prolapse, second-degree hemorrhoids were in 62 patients (83.8% ),<br>first-degree hemorrhoids in 8(10.8％ ), and third-decree hemorrhoids in 4 (5.4% ).<br>Seventy-six bandings were done in 74 patients. The sites of bandings were right<br>anterior part of the anus in 45(59.2%), right posterior in 16(21.2%), left lateral in 11<br>(14.4%), left posterior in 3 (3.9%), and left anterior in 1 (1.3%).<br>Postligation complaints in 63 patients were mild discomfort in 7 patients, anal pain in<br>2, anal bleeding in 2, syncope in 2, and perianal infection in 1.<br>Long-term results in 61 patients were "excellent" in 48 patients (78.7% ), "moderate<br>success" in 10(16.4%), and "of little help" in 3(4.9%).<br>