Author/Editor		Mlakar, Boštjan; Košorok, Pavle; Velikonja, Tine
Title		Zapleti po zdravljenju hemoroidov z elastično ligaturo
Translated title		Complications after treatment of hemorrhoids with rubber band ligations
Type		članek
Source		Zdrav Vestn
Vol. and No.		Letnik 70, št. 1
Publication year		2001
Volume		str. 17-8
Language		slo
Abstract		Background. Rubber band ligation is an efficient therapy for second degree internal hemorrhoids. It is sometimes usefull also for first and third degree internal hemorrhoids. Methods. We studied complications following 1164 rubber band ligations of internal hemorrhoids in the period of one year. Results. Seventeen patients (1.5%) suffered from minor or major complications. Eleven patients (0.9%) developed pelvic cellulitis, two patients (0.2%) had severe pain in the wound after spontaneous removal of a necrotic hemorrhoid, two patients (0.2%) had massive bleeding, one patients (0.1%) developed urinary retention and one (0.1%) developed thrombosis of external hemorrhoids. Conclusions. According to our experience we strongly recommend the use of profilactic therapy with metronidazol. Every patient receive written informations about possible complications (high temperature, fever, bleeding). All patients with pelvic cellulitis were successfuly treated with klindamicin. Only one patient with massive bleeding required hospitalization and blood transfusion.
Summary		Izhodišča. Z elastično ligaturo uspešno zdravimo notranje hemoroide druge in včasih tudi prve in tretje stopnje. V študiji smo predstavili zaplete po 1164 primerih zdravljenja z elastično ligaturo, ki smo jih opravili v obdobju enega leta. Rezultati. Sedemnajst (1,5%) bolnikov je imelo manjše ali večje težave po posegu. Pri enajstih bolnikih (0.9%) je prišlo do pelvičnega celulitisa, dva bolnika (0,2%) sta imela močne bolečine zaradi nezaceljene rane na mestu odpadlega ligiranega hemoroidnega vozla, pri dveh bolnikih (0,2%) je prišlo do močnejše krvavitve, pri enem bolniku (0,1%) je prišlo do retence urina in pri enem bolniku (0,1%) do tromboze zunanjega hemoroidnega vozla. Zaključki. Na podlagi izkušenj priporočamo profilaktično zdravljenje z metronidazolom. Bolniki dobijo tudi pisna navodila o možnih zapletih (povišana temperatura, mrzlica, krvavitve), ki lahko nastanejo po posegu. Vse bolnike s pelvičnim celulitisom smo uspešno pozdravili s klindamicinom. Samo en bolnik je zaradi obsežne krvavitve potreboval hospitalizacijo in transfuzijo.
Descriptors		HEMORRHOIDS LIGATION POSTOPERATIVE COMPLICATIONS HEMORRHAGE CELLULITIS