Evaluation of Tripple Rubber Band Ligation for Haemorrhoids

Abstract

Background: Haemorrhoids is a common problem. Although excisional haemorrhoidectomy is time tested and valuable yet a major and painful procedure. We aimed to evaluate less extensive minor procedure of rubber band ligation for patients suffering from haemorrhoids.

Methodology: This descriptive study was conducted from January 2005 to June 2007 at Shifa Hospital Lakki Marwat and Home Welfare Hospital D.I.Khan. A total of 380 patients with haemorrhoids underwent the procedure as a day case. Patients were followed up for one year to note recurrence of the problem and satisfaction of patients.

Results: Patients of both genders with age range 15-80 years underwent rubber band ligation. Postoperatively 44(11.56%) patients got the complications like pain, bleeding, vasovagal symptoms and urinary retention. On one year follow-up 16(4.2%) patients got recurrence. Three hundred and thirty two (87.36%) patients were satisfied with the results.

Conclusion: Rubber band ligation is safe and effective treatment for first, second and third degree internal haemorrhoids. It can be easily performed as a day case with lesser complication rate and better patient acceptability.