Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2008 Nov 28:2:5.
doi: 10.1186/1750-1164-2-5.

Ligation and mucopexy for prolapsing hemorrhoids--a ten year experience

Pravin J Gupta  1 , Surekha Kalaskar
Affiliations

Ligation and mucopexy for prolapsing hemorrhoids--a ten year experience

Pravin J Gupta et al. Ann Surg Innov Res. .

Abstract

Objective: The aim of this study is to clinically test the efficacy of author's approach of suture ligation and mucopexy for patients having symptomatic and prolapsing hemorrhoids.

Materials and methods: 616 patients (255 females) complaining of symptoms of hemorrhoids were included in the study. The hemorrhoids were suture ligated with an absorbable suture material under vision. Operating time, postoperative complications, time to return to work, and outcome of the procedure were analyzed. Follow-up was planned following discharge after 1 month, 6 months and after at least 1 year. Patient satisfaction was also assessed.

Results: The mean procedure time was 8 +/- 0 minutes (range, 6-15 minutes), and the total admission period was 12 +/- 4 Hours. Perianal thrombosis and skin tags were the commonest post-operative complications. The mean total analgesic dose and duration of pain control using analgesics was 19 +/- 4 tablets, and 9 +/- 3 days respectively.The postoperative follow up after 4 weeks revealed therapeutic success in 589 patients (95.6%), who presented with hemorrhoidal bleeding. Prolapse was no longer observed in 98% of patients and 96% patients experienced no pain after defecation. 93% patients completed the one-year follow-up and 89 percent of them were asymptomatic. The patient satisfaction scoring was 8.2% on visual analogue scale.

Conclusion: Suture ligation and mucopexy of hemorrhoids is an easy-to-perform technique that is well accepted by patients and has good results for prolapsing hemorrhoids.

PubMed Disclaimer

Figures

Figure 1
Figure 1
Hemorrhoids at multiple positions.
Figure 2
Figure 2
Hemorrhoids after ligation and mucopexy.
See this image and copyright information in PMC

References

    1. Aigner F, Bodner G, Gruber H, Conrad F, Fritsch H, Margreiter R, Bonatti H. The vascular nature of hemorrhoids. J Gastrointest Surg. 2006;10:1044–50. doi: 10.1016/j.gassur.2005.12.004. - DOI - PubMed
    1. Farag AE. Pile suture: a new technique for the treatment of haemorrhoids. Br J Surg. 1978;65:293–5. doi: 10.1002/bjs.1800650422. - DOI - PubMed
    1. Block IR. Obliterative suture technique for internal hemorrhoidectomy. Dis Colon Rectum. 1985;28:679–80. doi: 10.1007/BF02553454. - DOI - PubMed
    1. Hussein AM. Ligation-anopexy for treatment of advanced hemorrhoidal disease. Dis Colon Rectum. 2001;44:1887–90. doi: 10.1007/BF02234474. - DOI - PubMed
    1. Serdev N. The surgical treatment of hemorrhoids. Their suturing ligation without excision. Khirurgiia (Sofiia) 1990;43:65–8. - PubMed