Comparative assessment of efficacy of artery ligation versus rubber band ligation for management of haemorrhoids in Southern Rajasthan
Keywords:Artery ligation, Band ligation, Hemorrhoids
Background: One of the commonest complaints presenting in the surgical out patient department (OPD) is haemorrhoids. Commonest types of haemorrhoids are grade II and III. There is a wide number of modalities that can be adopted for their management. It depends on the skill of the surgeon and preferences of the patient. The present study was designed to ascertain if two modalities of artery ligation and band ligation are comparatively equal or not in managing symptomatic grade II and III haemorrhoids in Rajasthan.
Methods: The study comprised of 100 subjects who were randomly divided in two groups based on the procedure to be followed. The subjects were told about the study and its objective.
Results: The observations reported that among the selected study population there were more relapses in band ligation as compared to artery ligation.
Conclusions: This led to the conclusion that despite its painful and traumatic methodology, haemorrhoid artery ligation still provides a better outcome.
Ali SA, Shoeb MF. Study of risk factors and clinical features of hemorrhoids. Int Surg J. 2017;4(6):1936-9.
Nisar PJ, Scholefield JH. Managing haemorrhoids. BMJ. 2003;327(7419):847-51.
Corman ML. Hemorrhoids. In: Brian Brown, Erin Mc Mullan and Michelle M LaPlante. Colon and Rectal Surgery. 1. 5th ed. Philadelphia: Lippincort Williams and Wilkins. 2004:177-244.
Bernal JC, Enguix M, Lopez GJ, Garcia RJ, Trullenque PR. Rubber-band ligation for hemorrhoids in a colorectal unit. A prospective study. Rev Esp Enferm Dig. 2005;97(1):38-45.
Lohsiriwat V. Treatment of hemorrhoids: A coloproctologist’s view. World J Gastroenterol. 2015;21(31):9245.
Iyer VS, Shrier I, Gordon PH. Long-term outcome of rubber band ligation for symptomatic primary and recurrent internal hemorrhoids. Dis Colon Rectum. 2004;364-70.
Murie JA, Mackenzie I, Sim AJ. Comparison of rubber band ligation and hemorrhoidectomy for second- and third-degree haemorrhoids: a prospective clinical trial. BJS. 1980;67(11):786-8.
Konings M, Debets JM, Baeten CG. Rubber band ligation of hemorrhoids: symptoms almost gone after 6 weeks but many patients need retreatment in the long run. Ned Tijdschr Geneeskd. 1999;143(24):1265-8.
Thakkar NB. Hemorrhoidectomy versus rubber band ligation in treatment of second and third degree hemorrhoids: a comparative study. Int J Res Med Sci. 2019;7:2394-8.
Steinberg DA, Liegois HJ, Willaims A. Long term review of the results of rubber band ligation of haemorrhoids. BJS. 1975;62:144-6.
Sohn N, Aronoff JS, Cohen FS, Weinstein MA. Transanal hemorrhoidal dearterialization is an alternative to operative hemorrhoidectomy. Am J Surg. 2001;182(5):515-9.