Evaluation of Rubber band ligation technique for Internal Haemorrhoids

Introduction: Hemorrhoids are masses or clumps or "cushions" of tissues consisting of muscle and elastic fibres wit h enlarged, bulging blood vessels and surrounding sup porting tissues present in the anal canal of an ind ividual suffering from the disease. It is one of the common reasons f or surgical OPD visit. In this study we tried to fi nd out effectiveness of Ring band ligation technique 1 st degree, 2 nd degree & some of the 3 rd degree hemorrhoids. Methods: All the patients coming to surgical OPD of tertiary care teaching ho spital from June 2012 to December 2013 and diagnosed as a case of Hemorrhoids were included in study. Proctoscopic examination found to have first-, second-, and non-bu lky, non edematous third-degree haemorrhoids were included for band ligation. Results: Out of total patients 202 were males and 145 were females. Bleeding per rectum (52%), discomfort during defecation (58%) and constipation (47%) were most common symptoms. Most common post-ligation/residual symptoms were bleeding (32 %), pain & discomfort (29.4 %) & constipation (21 %).70 % of patients are cured and 14 % have shown significant improvement. Conclusion: Rubber band ligation as first line treatment for 2 nd degree lesion, however for 3 rd degree lesion Open hemorrhoidectomy is always better.