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Rubber Band Ligation, Sclerotherapy, Infrared Coagulation, and Other Techniques in the Treatment of Hemorrhoids

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Book cover Hemorrhoids

Part of the book series: Coloproctology ((COLOPROCT,volume 2))

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Abstract

The treatment of hemorrhoids should focus on eliminating the patient’s symptoms. If possible, hemorrhoidectomy should be avoided, to prevent postoperative complications and fecal incontinence. In this sense, the noninvasive surgical treatment of hemorrhoids is becoming more important. Considering the high incidence of hemorrhoids (almost 5% of the world population), and that most of these noninvasive treatments can be performed in an outpatient setting, these treatments are becoming more common. The mechanism of action is the same in all of them: producing a scar at the base of the hemorrhoid, reducing the vascular supply, and fixing the hemorrhoid cushion to the upper part of the anal canal in order to reduce bleeding and prolapse. Multiple techniques are available: rubber band ligation, sclerotherapy, infrared coagulation, bipolar diathermy, laser coagulation, the Ultroid (Ulterior Technologies, Tampa, FL, USA) approach, cryosurgery, and anal dilatation. These techniques are detailed in this chapter.

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Authors and Affiliations

  1. Colorectal Surgery Unit, Hospital Universitari Mútua Terrassa, Terrassa/Barcelona, Spain

    Arantxa Muñoz-Duyos, Arantzazu Rada Palomino & Laura Hernández-Giménez

Authors
  1. Arantxa Muñoz-Duyos
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  2. Arantzazu Rada Palomino
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  3. Laura Hernández-Giménez
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Correspondence to Arantxa Muñoz-Duyos .

Editor information

Editors and Affiliations

  1. Proctology Unit, University Hospital “A. Gemelli”, Catholic University, Rome, Italy

    Carlo Ratto

  2. Proctology Unit, University Hospital “A. Gemelli”, Catholic University, Rome, Italy

    Angelo Parello

  3. Proctology Unit, University Hospital “A. Gemelli”, Catholic University, Rome, Italy

    Francesco Litta

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Muñoz-Duyos, A., Palomino, A.R., Hernández-Giménez, L. (2018). Rubber Band Ligation, Sclerotherapy, Infrared Coagulation, and Other Techniques in the Treatment of Hemorrhoids. In: Ratto, C., Parello, A., Litta, F. (eds) Hemorrhoids. Coloproctology, vol 2. Springer, Cham. https://doi.org/10.1007/978-3-319-53357-5_12

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  • DOI: https://doi.org/10.1007/978-3-319-53357-5_12

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-53356-8

  • Online ISBN: 978-3-319-53357-5

  • eBook Packages: MedicineReference Module Medicine

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