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hemorrhoidectomy
Indications:
- surgical excision of hemorrhoid(s)
Procedure:
- rubber band ligation better than bipolar electrocoagulation
- band ligation systems available that can be applied using standard esophageal variceal banding devices
Complications:
- severe pain, bleeding, & rarely serious infection associated with rubber band ligation
- not a minor procedure in frail elderly nursing home residents [3]
- worsening fecal incontinence
- cardiovascular or pulmonary problems within 30 days [3]
- death within 1 year [3]
Related
hemorrhoidopexy
hemorrhoids (piles)
Specific
excision of thrombosed hemorrhoid
General
venectomy
References
- Jutabha R et al
Randomized prospective study of endoscopic rubber band
ligation compared with bipolar coagulation for chronically
bleeding internal hemorrhoids.
Am J Gastroenterol 2009 Aug; 104:2057.
PMID: 19513028
- Koller SE
Hemorrhoidectomy and Hemorrhoidopexy Technique.
Medscape. April 11, 2017
http://emedicine.medscape.com/article/1829854-technique
- Remaly J
Hemorrhoid Surgery in Older Adults: Not a 'Minor' Procedure.
Medscape - Jun 03, 2021.
https://www.medscape.com/viewarticle/952348