Simultaneous, combined sclerotherapy and rubber band ligation of haemorrhoids

Abstract

We present the results of combined, simultaneous application of sclerotherapy and rubber band ligation during one session in patients with symptomatic second-degree haemorrhoids. Between 1993 and 1996, 83 consecutive outpatients with second-degree haemorrhoids underwent simultaneous rubber band ligation of larger (primary) piles and sclerotherapy of smaller (secondary) piles. The treatment was successful, and the symptoms were controlled in 88% of the patients. The overall incidence of complications was 9.2%, but these were minor and transient. The simultaneous, combined sclerotherapy and rubber band ligation of second-degree haemorrhoids is a simple, safe, and effective method, with only minor and transient complications.

Sclerobanding (Combined Rubber Band Ligation with 3% Polidocanol Foam Sclerotherapy) for the Treatment of Second- and Third-Degree Hemorrhoidal Disease: Feasibility and Short-Term Outcomes

“…Five studies [ 33 , 34 , 35 , 36 , 37 ], mainly retrospective ( Table 3 ), have been published in the literature about the concomitant use of SCT with RBL in the treatment of HD, but with different technical details and omitting important information for a fair comparison. All authors used oil-based sclerotizing agents, often injected into the submucosal plane.…”

“…Chew et al reported a reverse approach, with SCT firstly applied in the hemorrhoidal nodule to facilitate the banding [ 33 ]. Kanellos et al both in their observational study [ 34 ] and in their prospective randomized trial [ 35 ] ligated larger hemorrhoidal nodules with a rubber band, injecting the sclerosant agent into the minor nodules.…”

Sclerobanding Is a Novel Technique for the Treatment of Second- and Third-Degree Hemorrhoidal Disease. Reply to Jongen et al. Comment on “Pata et al. Sclerobanding (Combined Rubber Band Ligation with 3% Polidocanol Foam Sclerotherapy) for the Treatment of Second- and Third-Degree Hemorrhoidal Disease: Feasibility and Short-Term Outcomes. J. Clin. Med. 2022, 11, 218”

“…However, as we already highlight in our article, “concomitant” does not imply “combined”. Two of these studies reported the selective use of RBL or Sclerotherapy in different nodules in the same patient [ 4 , 5 ]; another study described the use of sclerotherapy as the first step to reduce the volume of the hemorrhoidal nodule which is then treated by RBL [ 6 ]. Regarding the two oldest studies, one reported a technique with unclear steps [ 7 ], and another mentioned a “modified” RBL as a part of the procedure [ 8 ].…”

Combined rubber band ligation with 3% polidocanol foam sclerotherapy (ScleroBanding) for the treatment of second‐degree haemorrhoidal disease: a video vignette

“…They are low‐risk, inexpensive, repeatable and can be performed as office‐based procedures [2,3]. The simultaneous combined use of the two techniques may improve symptom control and long‐term results [4,5]. However, no studies in the literature describe the use of 3% polidocanol foam as a sclerotizing agent in combination.…”