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Abstract

BACKGROUND: Hemorrhoids are quite common disease affecting the anus and may require traditional surgical treatment, but the rubber band ligation (RBL) emerged as a less invasive and effective method of treatment. AIM: This study was performed to assess the efficacy of rubber band ligation as an option in the treatment of hemorrhoid in comparison to classical hemorrhoidectomy using (pain, bleeding, return to daily activities and recurrence) as parameters.  METHOD: A prospective study was conducted from January 2018 till July 2019 at Mosul teaching center, it compares the results of  RBL and classical hemorrhoidectomy. It includes 100 patients having grade two and three hemorrhoid who were selected randomly and divided into 2 groups of 50 patients each (hemorrhoidectomy group and RBL group). Patients with other lesions such as fissures and fistulae were excluded from the study. All data were recorded and subsequently analyzed. RESULTS: From 100 patient, the 50 patient whom were treated by rubber band ligation had less pain , less bleeding, early mobilization, and more cost effective as they were treated as an outpatient basis compared to hemorrhoidectomy group; however, the recurrence rate (after less than 6 months) were much higher in RBL group compared to Hemorrhoidectomy group. CONCLUSION: RBL can be used effectively in the treatment of grade 2 and 3 hemorrhoid as it has less postoperative complications (less pain and less bleeding) and should be considered as first line in patients who are unfit for surgery as it is done as an outpatient basis. However, patients may need multiple sessions (more recurrence rate) especially those with multiple hemorrhoids and with grade 3 hemorrhoid.    

DOI

10.52573/ipmj.2020.175815

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