Ligation of hemorrhoids (hemorrhoids) with latex rings: reviews, complications, price

Indications for use

Alloying is a minimally invasive procedure , which is resorted to in case of failure of conservative therapy carried out at an early stage. This phenomenon causes constant attacks of pain, itching and burning in patients, so doctors recommend intervention to alleviate the symptoms of the disease and solve the problem more quickly.

The main indication for the presented medical procedure is internal hemorrhoids of the second and third degrees of development. At this stage of the disease, the nodes become more formed and visible, so they are easier to press.

In addition, latex ligation is indicated for patients who have an exacerbation of the disease with the development of undesirable consequences for the health and psychological state of the patient - increased pain, itching, burning, difficulty in defecation.

It is important to remember that this type of therapy is used only in the case of hemorrhoids that have already formed, but are not yet in an advanced state (fourth stage), in which it is advisable to perform surgical intervention.

Contraindications

The ligation process is a fairly simple procedure that does not require any special specialized skills. But even such a simple action has a number of contraindications that make it impossible and inappropriate to carry out.

It is not advisable to prescribe this medical procedure during the first stage of the formation of hemorrhoids, when the bumps do not have a dense, strong consistency and are not clearly defined. In this case, conservative therapy .

Ligation of hemorrhoids is not performed on patients in serious condition. Such patients must stabilize their condition and also undergo the process of complex conservative treatment.

The main contraindication for ligation is bleeding and fissures in the anus . This is due to the fact that during the procedure, the ligator can damage the wall of an already damaged vessel, which will cause bleeding and cause severe complications in the patient’s condition.

Another contraindication for ligation of hemorrhoids is the 4th stage of disease severity, when the process has become complex and combined. In this case, the hemorrhoids become difficult, and sometimes impossible, to separate from each other, so the procedure becomes ineffective.

In addition, conditions that cause:

Inflammatory diseases not associated with the presence of hemorrhoids in the human body.
Chronic proctitis and paraproctitis.
Blood clotting disorder.
Disorders of the cardiovascular system and central nervous system;
Tumors in the rectum.

Types of ligation

In modern diagnosis and treatment of hemorrhoids, two types of alloying with latex rings are used: mechanical and vacuum.

Mechanical ligation is performed with a special ligator, which contains a special button for compressing the ring. This procedure is performed with the patient lying on his side in a gynecological chair. To carry out the procedure, the doctor must clearly see the hemorrhoids and rectal cervix. Mechanical ligation is carried out without the use of anesthesia and occurs, on average, within 10-15 minutes.

Mechanical ligation

Vacuum ligation occurs using a vacuum ligator, which has a special suction to capture the node by reverse traction. In this case, the knot is pulled into the device, and then a latex ring is put on it as standard. Typically, the procedure is carried out under a pressure of 0.8 atmospheres, which is necessary for an optimal and quick solution to the problem.

Vacuum ligation

The whole truth about ligation of hemorrhoids...

Home / The whole truth about ligation of hemorrhoids...

Hemorrhoidal ligation is considered to be a minimally invasive treatment for hemorrhoidal disease. This technique is not new at all, it is already several decades old, but in Russia it appeared and has been used for a little over 10 years. Almost any private clinic with a coloproctologist offers its patients treatment for HEMORRHOIDS, including this method, actively describing its advantages. No one will tell you about the shortcomings, this is not beneficial for private clinics, and the money that you pay in a private clinic in advance before treatment will most likely never come back to you (despite the lack of results in the treatment).

In this article, I would like to explain in detail to patients what is called “at your fingertips” and “in an accessible language”, what the LGU method is, why after its use in more than 90% of cases the patient remains dissatisfied with the treatment.

To begin with, you need to understand that any procedure and manipulation in medicine has its own indications and contraindications. I am used to explaining everything in detail to patients, with the sole purpose that a person who does not have a medical education, but who thinks logically, can independently understand in which case he is being openly deceived. On the Internet you can find many pictures that clearly show how LGU is performed. In a nutshell - under the supervision of a doctor’s eye (most often a special anoscope is used for this), a vacuum pump is used to “suck” the hemorrhoidal tissue into a special apparatus (ligator), after which a pre-stretched latex ring is placed on this hemorrhoidal tissue at the base. Those. imagine a fairly powerful vacuum cleaner, only with a tube diameter of 0.7-1.0 cm in diameter, put a rubber band of small diameter on the end of the tube, bring the vacuum cleaner to some fabric that enters the tube under the action of suction force and remove the rubber ring. That's all. It would seem that everything ingenious is simple.

Now, as promised, I’ll explain it “on the fingers” so that you can imagine in advance what happens next. Imagine that you simply tie any finger of your hand with an elastic band at the base. What will happen to your finger in a minute? Right. It will turn purple, become engorged (because the blood flow is disrupted), and will begin to hurt very badly (so that it is impossible to endure). If you do not remove the noose from your finger, gangrene (death) of the finger will occur within a few hours. The same thing happens with your tissues captured (pulled) into the ligator; they die, but not after a few hours, but after a few days. And throughout all these days you are in VERY, VERY pain. Strange, isn't it? But the doctor tells you before the procedure that it is completely painless. Now you understand that it simply cannot be physiologically NOT PAINFUL Doctors, of course, know about this that it will hurt, so they prescribe pain relief after the procedure in tablets, injections and suppositories/ointments. To make it a little easier, but only a little, because... It will still hurt quite a lot. And then, the most interesting thing.

Everything would be fine, you can wait a few days a MINIMALLY INVASIVE METHOD And patients who have gone through the LGU procedure endure, because... the doctor assured them that everything would soon pass, they would be healthy and would be cured of this terrible disease - HEMORRHOIDS. But most often, the ligator mainly gets the intestinal mucosa and only a small part of the hemorrhoidal tissue located under the mucosa. Thus, the beautiful story of the doctor that you can cure HAEMORROIDS with the help of LGU is pure beautiful deception. If the hemorrhoidal tissue remains almost entirely in place, what kind of treatment can we talk about? After such a detailed story, the patient has a pertinent question: “Why is this method used?” But because no one banned it. It can be beautifully advertised as MINIMALLY INVASIVE and treat patients, earning good money from it, considering the penny cost of consumables.

Unsatisfactory treatment results will be explained to you by the “complexity of your case,” or they will say that you yourself wanted to be cured without surgery. We tried, we suffered, it didn’t work, sorry, only surgery will help you. Believe me, everything I write is the stories of patients who encountered and underwent this procedure in various clinics in Moscow. Dissatisfied with the result of treatment, they are forced to look for normal, proper doctors.

The treatment of hemorrhoids is quite simple and there is no need to reinvent the wheel. Throughout the civilized world, in countries with developed comfortable medicine, stages 1-2 of HEMORRHOIDS are treated conservatively and you can engage in prevention so as not to bring yourself to stages 3 and 4, and if you come to the doctor with stages 3 and 4, then this is an indication for surgical treatment in the scope of radical hemorrhoidectomy, which is the “gold standard”. The only problem is that radical hemorrhoidectomy in city hospitals in Russia is performed quite roughly and with sutures on the wounds, which leads to severe pain after the operation and other serious complications in the early and late postoperative period (strictures, bleeding), after this operation to the person even more painful than after ligation, sometimes painkillers do not help at all, and the hospitalization period is 7-21 days, the period of disability is from 2 to 8 months.

Modern radical hemorrhoidectomy can be performed on an outpatient basis , i.e. Even in the most advanced cases, you can leave the hospital within a few hours after the operation, because With the correct, accurate and seamless method for removing hemorrhoids, there is no need to stay in the hospital, because there is no pronounced pain syndrome and there is no likelihood of bleeding. After spending several days at home, the majority of patients return to active life and work.

Returning to the topic of our main question - LGU, does it have a place in modern coloproctology. May be. But only on the condition that before the procedure the patient is correctly informed that LGU is not a method of TREATING hemorrhoids, but more often a manipulation that temporarily alleviates the symptoms of internal hemorrhoids, that LGU is accompanied by severe pain, which will certainly occur after the procedure, that there is a very high probability of symptoms returning after a short period of time or immediately after the procedure, as well as possible complications (development of bleeding, suppuration, etc.). And most importantly, LGU should be performed according to indications. And, perhaps, the only indication for LGU is greatly enlarged internal nodes that do not protrude out and are accompanied by frequent heavy bleeding after defecation. Those. if you have stage 3-4 hemorrhoidal disease, when the internal nodes protrude out, then in 100% of cases LGU will not bring you any result other than a negative one, plus the material costs of treatment.

I frankly tell many patients that if this procedure were really as wonderful as its advertising and helped people comfortably deal with hemorrhoids in the initial stages, I would buy myself a ligator with great pleasure, given its low cost of $150-200, and would do people feel good while making money. But because “good” with this method, even if performed according to indications, is almost impossible to do, then I would rather engage in “correct” scientifically proven methods of treatment that bring a cure for hemorrhoids in almost 100% of cases, especially if patients tolerate them much more comfortably and once a life.

Treat yourself correctly!

Sincerely, coloproctologist,

Ph.D. Ermakov Dmitry Fedorovich

Preparatory manipulations

Ligation requires special preparation, which consists of the following steps:

Taking the necessary tests to diagnose the presence of pathological processes in the body and exclude contraindications.
Prohibition of the use of non-steroidal anti-inflammatory drugs, as well as drugs that reduce blood clotting for at least two weeks before the procedure.
Immediately before the procedure and on the eve of it, the patient is given cleansing enemas or prescribed a drug to cleanse the walls of the rectum.
Special diet therapy that helps avoid constipation, diarrhea or increased gas formation.
Complete exclusion of alcoholic beverages from the diet, limiting intake of coffee and tea, soda.

These methods must be followed by the patient for several weeks for best results from the ligation.

Features of the event

Ligation with a latex ring consists of clamping damaged vessels by squeezing them at the site of lump formation. This leads to cessation of blood flow in the damaged area of the vessel and the gradual formation of a necrotic focus at the site of compression of the cone, during which the cones fall off and are excreted with feces.

The full range of implementation of the treatment procedure occurs within 10-14 days and leads to the disappearance of the node and further healing of the area that previously had the node.

Ligation is carried out using a special device called an anoscope , which is inserted directly into the patient's rectum. Next, the doctor grabs the node with a special ligator and passes it through a latex ring, thus putting the ring on the base of the hemorrhoid. Next, the ring is compressed until the blood flow in the lump is completely compressed, as well as until the patient is comfortable, so that he does not experience pain.

Ligation does not require the patient to remain under medical supervision, so after it is performed he is sent home for 2 weeks until the lump falls off. Complete restoration and scarring of tissue occurs within 3-4 weeks.

During the procedure, the doctor can cover only 1-2 nodes, in the mild stage 3, but not more, because treating a larger number of nodes can cause a severe inflammatory process in the patient’s intestine and lead to even greater complications.

If further treatment and additional ligation are necessary, this procedure will be possible only 2-3 months after the formation of full-fledged scars in the previously ligated areas.

Types of hemorrhoid ligation with latex rings

The modern multidisciplinary family clinic Ameda on Sofievskaya Borshchagovka has been engaged in diagnosis, treatment and preventive measures in various areas of medicine for children and adults for years. If we are talking about the initial stages of the disease, then it is quite possible to get by with drug treatment or even folk remedies. Proctologists prefer complex treatment with medications, sometimes prescribing surgical removal of nodes. Ligation of hemorrhoids with latex rings in Kyiv You may be interested in proctologists.

Today everything is fine, no deviations or complications were observed. Bloody discharge was noticed only once, around the sixth day after the procedure. In place of the fallen node, a scar is formed by connective tissues.

To achieve the desired results, it is important to complete two to three sessions.
Latex ligation is, of course, an effective way to treat hemorrhoids, but it also has its drawbacks.
Add a comment Cancel reply.
The doctor should explain that in the first time after the intervention it is undesirable to go to the toilet at all.

Complications

Possible complications of hemorrhoidal ligation include:

Severe pain associated with pulling the node or affecting living intestinal tissue. In this case, it is necessary to loosen the ring or change its location.
Bleeding. Heavy bleeding should not go unnoticed by a doctor.
Poor installation of the ring, as a result of which it slips, and the procedure is considered ineffective.
Infection in the ligation area.
Thrombus formation at the site of ligated nodes.

These complications require immediate treatment at the hospital for diagnosis and treatment.

Types of hemorrhoid ligation with latex rings

To achieve the desired results, it is important to complete two to three sessions.
Latex ligation is, of course, an effective way to treat hemorrhoids, but it also has its drawbacks.
Add a comment Cancel reply.
The doctor should explain that in the first time after the intervention it is undesirable to go to the toilet at all.