Management of hemorrhoids by rubber band ligation

ABSTRACT

Rubber Bond Ligation has been used in the treatment of 200 consecutive patients with Internal Haemorrhoids. The treatment was performed in the private clinic [out patient] without anaesthesia. Only one Haemorrhoid or sometimes two were ligated at one time to ovoid tenesmus. This was especially true in patients with large Hoemorrhoids. A follow-up of two years shows that Rubber-band ligation leads to satisfactory outcome in 89% of patients with prolapse and 90% with bleeding. Apart from cardinal symptoms of bleeding and prolapse, banding is effective in relieving anal pain, pruritis Ani and Soiling which can be regarded as secondary symptoms of the disease. It has been suggested that one year is adequate to indicate long term results. The treatment is simple and effective. The main complications were dull-ache in nearly all patients and minor secondary haemorrhage in some patients