Efficacy of rubber band ligation in third degree hemorrhoid

  • Samir Shrestha Patan Academy of Health Sciences, Lalitpur, Kathmandu, Nepal
  • Surendra Shah Patan Academy of Health Sciences, Lalitpur, Kathmandu, Nepal
  • J Shrestha Patan Academy of Health Sciences, Lalitpur, Kathmandu, Nepal
  • Jay Narayan Shah Patan Academy of Health Sciences, Lalitpur, Kathmandu, Nepal
Keywords: Hemorrhoids, Hemorrhoidectomy, Office Procedure, Rubber Band Ligation

Abstract

Introduction: Rubber band ligation (RBL) is an effective treatment in symptomatic 1st and 2nd degree hemorrhoids. The aim of this study was to assess the outcome, effectiveness and complications RBL as out patient procedure for symptomatic 3rd degree hemorrhoids.

Method: Seventy one patients with symptomatic third degree hemorrhoids underwent rubber band ligation in the department of surgery at National Academy of Medical Sciences, Patan hospital and Shree Birendra Army hospital. Nine defaulters were excluded from the study and data on 62 patients were analysed. Outcome measures were symptomatic cure i.e. stoppage of bleeding and reduced mucosal prolapse. Complications were categorized as immediate (within 1
hour), early (within one week) and late (within 6 weeks).

Result: There was symptomatic improvement (stoppage of bleeding and reduced mucosal prolapse) in 47 (75.8%) patients. Four patients required repeat banding. In 15 (24.2%) patients hemorrhoidectomy was performed due to failure of RBL. Pain and bleeding was common immediate and intermediate complication respectively.

Conclusion: Rubber band ligation is an effective, outdoor procedure for symptomatic 3rd degree hemorrhoids with acceptable morbidity.

Author Biographies

Samir Shrestha, Patan Academy of Health Sciences, Lalitpur, Kathmandu, Nepal

Lecturer, Department of Surgery, Patan Hospital

Surendra Shah, Patan Academy of Health Sciences, Lalitpur, Kathmandu, Nepal

Lecturer, Department of Surgery, Patan Hospital

J Shrestha, Patan Academy of Health Sciences, Lalitpur, Kathmandu, Nepal

Lecturer, Department of Surgery, Patan Hospital

Jay Narayan Shah, Patan Academy of Health Sciences, Lalitpur, Kathmandu, Nepal

Professor, Department of Surgery, Patan Hospital

Published
2011-12-30
Section
Original Article