EFFICAY OF RUBBER BAND LIGATION VS HEMORHOIDECTOMY IN 2ND AND 3RD DEGREE HEMORHOIDS

ABSTRACT
Background: Hemorrhoids are dilatation of internal venous plexus with an enlarged, displaced anal cushion1. It is
believed to be one of the most widely spread human suffering ranking first among disease of the rectum and large
intestine.2 Symptoms resulting from haemorrhoids are commonly bright red bleeding per rectum, mucosal prolapse or
protrusion, and pruritus. Pain is not characteristic unless there has been thrombosis or strangulation of the haemorrhoid
which possibly can lead to gangrene.3
Objective: To compare the efficacy of rubber band ligation with hemorrhoidectomy in the treatment for 2nd & 3rd degree
hemorrhoids.
Material and Methods: This randomized control trial study has been conducted at Department of Surgery, Hayatabad
Medical Complex Peshawar from 10 jan 2017 to 10 feb 2018.sample size was 57 in each group. Sample technique
used were Consecutive sampling (non probability)
Results: Frequencies and Percentages for Efficacy was recorded as 48 (84.21%) in Group A while in Group B the
efficacy was recorded 30 (52.63%) with P Value 0.0002. (Table No. 3).
Conclusion: This study showed that Rubber Band Ligation (RBL) is more effective for treating 2nd and 3rd degree
hemorrhoids than Hemorrhoidectomy as only few complications and low recurrence rates were noted which has enabled
us to recommend this modality as the procedure of choice for the management of patients presented with 2nd
and 3rd Degree Hemorrhoids.
Key Words: Hemorrhoids, Hemorrhoidectomy, Rubber Band Ligation (RBL)