Journal Article

2820 A Retrospective Study to Assess Safety and Efficacy of the HET Bipolar Ligator System for the Treatment of Grade I and II Internal Hemorrhoids

Vadada, Deepak, Malik, Fahad, Deshpande, Vrushak, Herrero, Laura N.

2019

Overview

INTRODUCTION:Hemorrhoidal disease is a common condition, affecting about 80% of all Americans at some point in their life. There are two types of hemorrhoids: internal and external hemorrhoids. The internal hemorrhoids are further classified into four grades depending on their presentation. The HETTM Bipolar Ligator System is a nonsurgical safe and easy procedure that uses sterile, single-use bipolar forceps with a tapered tubular configuration for the treatment internal hemorrhoids. This study evaluated the efficacy and safety of the HETTM Bipolar Ligator System for the treatment of grade I and grade II hemorrhoids with the potential idea to improve overall patient care.METHODS:Primary goal was to evaluate the efficacy and safety of the HETTM Bipolar Ligator System for the treatment of grade I and grade II hemorrhoids. Using a chart review, all of the patients who had received elective treatment for grade I or grade II internal hemorrhoids with the HETTM Bipolar Ligator System from April 2013 to November 2016 in our community hospital. A total of 100 patients were studied for treatment with the HETTMsystem.RESULTS:Total of 100 patients received treatment with the HETTM system, 39 patients were male, and 61 were female. The mean age of the patients was 59 years. 27% of the patients complained of mild bleeding, 49% of moderate bleeding and 24% of severe bleeding. 31% of the patients complained of daily bleeding, 53% complained of bleeding at least once a week and 16% complained of bleeding less than once a week. 37% of patients had grade I hemorrhoids while 63% had grade II hemorrhoids. Only 11% of the patients reported pain at levels 1–2 (out of 5) immediately after the procedure, and in 15% of the patients, mild bleeding was observed. After the six-month follow-up period (Figure 3), 96% of the patients had a resolution of bleeding (primary goal). Lastly, all of the patients reported a high level of satisfaction with the procedure.CONCLUSION:All other hemorrhoidal treatments including rubber band ligation, sclerotherapy, bipolar diathermy, cryotherapy and laser photocoagulation were associated with complications such as postoperative pain and bleeding or required multiple treatments to provide relief. The HETTM ligation device is a novel treatment option for symptomatic grade I and grade II hemorrhoids. It is simple, cost effective, safe and highly effective in resolving bleeding hemorrhoids in a single non-surgical ambulatory setting.Table 1.Demographic, clinic and hemorrhoids’ characteristics dataTable 2.Comparison of different endoscopic modalities for the treatment of hemorrhoids

• Publisher: Wolters Kluwer Health Medical Research, Lippincott Williams & Wilkins
• Subject: Hemorrhoids