Manual dilatation of the anus and elastic band ligature: an effective short stay alternative to formal haemorrhoidectomy for prolapsing haemorrhoids
Umpleby, H.C.; Britton, D.C.
Annals of the Royal College of Surgeons of England 65(6): 378-379
1983
ISSN/ISBN: 0035-8843 PMID: 6638853 Document Number: 199277
Fifty patients with 2nd or 3rd degree hemorrhoids were treated by manual dilatation of the anus (MDA) and elastic band ligature under general anesthesia (GA). All patients had prolapsing hemorrhoids at presentation associated with bleeding in 46 and pain in 39. A final review by questionnaire was undertaken 1-3 yr later, at which time 44 patients remained symptom-free. Forty-three had experienced only mild or moderate discomfort postoperatively. Mean time from operation to pursuing all normal activities was 10 days. MDA and elastic band ligature under GA is a simple, quick and effective alternative to hemorrhoidectomy in the treatment of 2nd and 3rd degree hemorrhoids.