Suction Ligator: An Instrument for Rubber Band Ligation

Authors

  • Wanchai Manakijsirisuthi Division of Surgery, Petcharat Hospital, Petchaboon, Thailand

Abstract

Introduction: Internal hemorrhoid is a common problem in surgical practice. Rubber band ligation usually is recommended for grade II and II internal hemorrhoid and is claimed to be the most effective treatment. Barron's ligator is the instrument of choice; however, one may encounter some problems. Firstly, with improper equipment resulting in poor visualization, to grasp the hemorrhoid at a proper position in the first grasping may not be easy. Secondly, when the hemorrhoid is a large one, the ligator's cup may not cover the entire lesion and thus may render recurrence of the disease. To solve these problems, a suction ligator is designed and developed.

Materials and Methods: The suction ligator composes of 3 parts: loading part, ligating part and handling part. The loading part is a cone-shape piece, used for loading a rubber band. The ligating part is a two-cylindrical tube, inner and outer tube which fit together. The inner tube acts as a sucker that sucks and fixes the hemorrhoid while the outer tube acts as a pusher that pushes and lodges the rubber band. The handling part is a metal tube designed as a handle. It connects the ligating part with a suction unit.

Results: Suction ligator was successfully applied in 40 out-patients with grade II and III internal hemorrhoid during May 2003 and June 2006 without complications. All patients were satisfied with the results.

Conclusions: Suction ligator offers a clear visualization of the hemorrhoid before banding, and thus makes a precise banding. With multisize ligating parts, the instrument can be applied to hemorrhoid of all sizes, small or large. The instrument is modified from cheap basic medical supplies that are readily available in all hospitals.

References

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Published

2007-12-27

How to Cite

1.
Manakijsirisuthi W. Suction Ligator: An Instrument for Rubber Band Ligation. Thai J Surg [Internet]. 2007 Dec. 27 [cited 2024 Dec. 23];28(4):143-6. Available from: https://he02.tci-thaijo.org/index.php/ThaiJSurg/article/view/241052

Issue

Vol. 28 No. 4 (2007): October - December

Section

Original Articles

License

Articles must be contributed solely to The Thai Journal of Surgery and when published become the property of the Royal College of Surgeons of Thailand. The Royal College of Surgeons of Thailand reserves copyright on all published materials and such materials may not be reproduced in any form without the written permission.