Farrukh Uzair Shah, Yousaf Jan, Waqas, Shehzad Akbar Khan.
Outcome of Rubber Band Ligation for Grade-III Internal Haemorrhoids.
Ophthalmol Update Jun ;14(2):95-9.

Background: Haemorrhoids is a common anorectal disease seen in our society. Rubber band ligation is a simple out-patient procedure routinely performed for symptomatic hemorrhoids. Objective: To determine the management outcome of the endoscopic band ligation in the patients with grade 3 internal haemorrhoids in terms of symptoms relief, complications and recurrence. Materials & Methods: This prospective observational study was performed on all patients diagnosed with symptomatic grade 3 haemorrhoids between September 2012 and February 2014 in surgical department Hayatabad Medical Complex Peshawar. All of them were followed in the out-patient department for six months to assess symptomatic relief and recurrence. Results: A total of 100 patients with 3rd degree hemorrhoids underwent rubber band ligation. There were 78 males (78%) and 22 females (22%). Age of the patients ranged from 20-70 years. The patient`s symptoms were constipation in 85 cases (85%), prolapse in all cases (100%), both hemorrhage and prolapse in 55 cases (55%). Hemorrhage (14%) and pain (11%) were the most frequent complication. On follow up symptomatic recurrence was 10% (10/100) with repeat RBL or surgery in 10% (10/100). Hospital stay was only one day noted in the very few patients and mostly patients were discharged after few hours of the procedure. Successful results were achieved in 82%. Conclusion: We concluded that the endoscopic band ligation is useful, low-cost, safe, easy-to-use and successful method for treating symptomatic 3rd degree hemorrhoids without typical complications, very short hospital stay and recurrences rateThis enable us to recommend this modality as the procedure of choice for treatment of symptomatic third degree hemorrhoids.

PakMediNet -Pakistan's largest Database of Pakistani Medical Journals - http://www.pakmedinet.com