Abstract

AN EXPERIENCE OF OUTCOME FROM RUBBER BAND LIGATION OF HAEMORRHOIDS WITH SPECIAL EMPHASIS IN THIRD DEGREE HAEMORRHOIDS IN CMH MANGLA. A PROSPECTIVE STUDY

Zahid Saeed* and Dr. Huma Naeem Tareen

Abstract

Objective: To evaluate the efficacy and effectiveness of rubber band ligation in 2nd & 3rd degree haemorrhoids. Methods: Study was conducted at Surgical Unit, CMH MANGLA, during a period of 15 months from December 2014 to March 2016. Out of total 300 patients, 100 patients were with 3rd degree internal haemorrhoids and and 200 pateints with second degree haemorrhoids; all were treated with Rubber band ligation (RBL). Outcome data was recorded for success of treatment. The patients were asked to return to out-patient clinic for follow up at 2 weeks, 1 month,, 3 months,6 months. Result: Among 100 patients, 92 (92%) were symptom free. Symptoms of prolapse or bleeding per rectum fully recovered after second and third session of RBL 100%, 5 (5%) patient had complaint of pain for one month after completion of treatment and 85 patients had complaints of constipation before treatment and only 5 (2.8%) had it after the treatment, the recovery rate was 97.14%. Conclusion: RBL is an efficient, cost-effective and simple outpatient procedure for symptomatic third degree haemorrhoids with minimum complications. RBL is a reliable, safe procedure requiring no hospitalization and no use of any anaesthetic drugs (JPMA 60:952; 2010).

Keywords: Hemorrhoids,, outpatient, rubber band ligation, treatment.