Lo ScleroBanding è una tecnica chirurgica ambulatoriale combinata utile per la cura della malattia emorroidaria. Essa combina due procedure che solitamente in passato venivano utilizzate singolarmente: la legatura elastica e la scleroterapia. In ordine cronologico viene prima applicata la legatura e successivamente, all’interno della stessa legatura, viene iniettata la schiuma (mousse) sclerosante.

Lo sclerobanding è stato descritto, per la prima volta, dal dott. Salvatore Bracchitta nel 2020, che ha poi realizzato il primo studio di fattibilità e sicurezza della metodica su 91 pazienti pubblicato nel 2021.

La legatura elastica, se utilizzata come unica tecnica, ha la funzione di incamerare all’interno dell’elastico il tessuto muco-emorroidario con all’interno i propri vasi sanguigni (arteria e vena emorroidaria) creando un effetto “lifting”, ma, alla caduta dell’elastico, espone ad una possibile emorragia tardiva post-operatoria talora anche grave. L’infiltrazione della mousse sclerosante di polidocanolo al 3%, come unica metodica, crea una sclero-demolizione del tessuto emorroidario in modo non standardizzabile potendo danneggiare tessuti sensibili soprattutto sulla parete anteriore.

Lo ScleroBanding si propone, grazie all’effetto sinergico di entrambe le tecniche unite in un unico gesto chirurgico, di ridurre le complicanze di entrambe le tecniche se utilizzate singolarmente. Infatti, iniettando la mousse esclusivamente all’interno del nodulo già legato se ne limita l’effetto sclerosante non controllato, a sua volta il possibile sanguinamento tardivo dovuto alla caduta dell’anello elastico viene ampiamente controllato dall’effetto sclerosante della mousse.

Articoli scientifici:

Sclerobanding in the treatment of second and third degree hemorrhoidal disease in high risk patients on antiplatelet/anticoagulant therapy without suspension: a pilot study.

Sclerobanding Is a Novel Technique for the Treatment of Second- and Third-Degree Hemorrhoidal Disease. Reply to Jongen et al. Comment on "Pata et al. Sclerobanding (Combined Rubber Band Ligation with 3% Polidocanol Foam Sclerotherapy) for the Treatment of Second- and Third-Degree Hemorrhoidal Disease: Feasibility and Short-Term Outcomes. J. Clin. Med. 2022, 11, 218"

Sclerobanding (Combined Rubber Band Ligation with 3% Polidocanol Foam Sclerotherapy) for the Treatment of Second- and Third-Degree Hemorrhoidal Disease: Feasibility and Short-Term Outcomes

Combined rubber band ligation with 3% polidocanol foam sclerotherapy (ScleroBanding) for the treatment of second-degree haemorrhoidal disease: a video vignette

Modified sclerobanding versus rubber band ligation for grade II/III hemorrhoidal disease: a retrospective study | International Journal of Colorectal Disease

Acute diverticulitis management: evolving trends among Italian surgeons. A survey of the Italian Society of Colorectal Surgery (SICCR). (2025-11-10) doi: 10.1007/s13304-024-01927-y eid: 2-s2.0-85202494678 issn: 2038131X 20383312

Anal Fissure and Its Treatments: A Historical Review (2025-11-10) doi: 10.3390/jcm13133930 eid: 2-s2.0-85198485633 issn: 20770383

Anastomosis dehiscence after LAR for rectal cancer: Audit of the Italian Society of Colorectal Surgery (SICCR) (2025-11-10) eid: 2-s2.0-67949105067 issn: 16405382

Anastomotic leaks after anterior resection for mid and low rectal cancer: Survey of the Italian Society of Colorectal Surgery (2025-11-10) doi: 10.1007/s10151-008-0407-9 eid: 2-s2.0-48349091264 issn: 11236337

Combined rubber band ligation with 3% polidocanol foam sclerotherapy (ScleroBanding) for the treatment of second-degree haemorrhoidal disease: a video vignette (2025-11-10) doi: 10.1111/codi.15613 eid: 2-s2.0-85102817093 issn: 14628910 14631318

Correction to: E-consensus on telemedicine in colorectal surgery: a RAND/UCLA-modified study (Updates in Surgery, (2022), 74, 1, (163-170), 10.1007/s13304-021-01139-8) (2025-11-10) doi: 10.1007/s13304-021-01157-6 eid: 2-s2.0-85115654092 issn: 2038131X 20383312

Correction to: Sclerobanding (Combined Rubber Band Ligation with 3% Polidocanol Foam Sclerotherapy) for the Treatment of Second- and Third-Degree Hemorrhoidal Disease: Feasibility and Short-Term Outcomes (Journal of Clinical Medicine, (2021), 11, 1, (218), 10.3390/jcm11010218) (2025-11-10) doi: 10.3390/jcm12155159 eid: 2-s2.0-85167797984 issn: 20770383

E-consensus on telemedicine in colorectal surgery: a RAND/UCLA-modified study (2025-11-10) doi: 10.1007/s13304-021-01139-8 eid: 2-s2.0-85116808186 issn: 2038131X 20383312

E-consensus on telemedicine in proctology: A RAND/UCLA-modified study (2025-11-10) doi: 10.1016/j.surg.2021.01.049 eid: 2-s2.0-85103005020 issn: 00396060 15327361

FISSIT (Fistula Surgery in Italy) study: A retrospective survey on the surgical management of anal fistulas in Italy over the last 15 years (2025-11-10) doi: 10.1016/j.surg.2021.02.055 eid: 2-s2.0-85104450550 issn: 00396060 15327361

Five-year recurrence after endoscopic approach to pilonidal sinus disease: A multicentre experience (2025-11-10) doi: 10.1007/s10151-023-02846-7 eid: 2-s2.0-85168320589 issn: 11236337 1128045X

Sclerobanding (Combined rubber band ligation with 3% polidocanol foam sclerotherapy) for the treatment of second-and third-degree hemorrhoidal disease: Feasibility and short-term outcomes (2025-11-10) doi: 10.3390/jcm11010218 eid: 2-s2.0-85122022470 issn: 20770383

Sclerobanding Is a Novel Technique for the Treatment of Second-and Third-Degree Hemorrhoidal Disease. Reply to Jongen et al. Comment on “Pata et al. Sclerobanding (Combined Rubber Band Ligation with 3% Polidocanol Foam Sclerotherapy) for the Treatment of Second-and Third-Degree Hemorrhoidal Disease: Feasibility and Short-Term Outcomes. J. Clin. Med. 2022, 11, 218” (2025-11-10) doi: 10.3390/jcm11113078 eid: 2-s2.0-85130907516 issn: 20770383

Sclerobanding in the treatment of second and third degree hemorrhoidal disease in high risk patients on antiplatelet/anticoagulant therapy without suspension: a pilot study (2025-11-10) doi: 10.3389/fsurg.2023.1290706 eid: 2-s2.0-85177235667 issn: 2296875X

Time trend in the surgical management of obstructed defecation syndrome: a multicenter experience on behalf of the Italian Society of Colorectal Surgery (SICCR) (2025-11-10) doi: 10.1007/s10151-022-02705-x eid: 2-s2.0-85138205116 issn: 11236337 1128045X

Note

Categoria:Procedure chirurgiche