%0 Journal Article
%T HEMORRHOIDECTOMY VS RUBBER BAND
%A MUHAMMAD DILAWAIZ
%A MUHAMMAD ABID BASHIR
%A ABID RASHID
%J The Professional Medical Journal
%D 2011
%I 
%X Objectives: To compare open hemorrhoidectomy and Rubber Band Ligation (RBL) in the management of 2nd and 3rd degree hemorrhoids in terms post operative and hospital stay. Design: Experiential Randomized Control Trial. Setting: Department of surgery, Allied Hospital and Independent University Hospital Faisalabad. Period: Dec 2008 to May 2009. Patients & Methods: 100 consecutive patients with second and third degree hemorrhoids were randomly divided into two groups. Group A (50 patients) were operated by open hemorrhoidectomy (Milligan morgan technique) while in group B (50 patients) rubber band ligations was performed. Open hemorrhoidectomy was performed underspinal anesthesia while rubber bands were applied with local xylocaine gel using Barron¡¯s rubber band ligator. All the three hemorrhoids wereligated in single session. Results: Average hospital stay was 24 hours in patient operated by open hemorrhoidectomy as compared to one hour in rubber band ligation. 60% patients in group A developed moderate to severe pain requiring I/V morphine derivatives while 40% developed mild pain and treated with NSAIDS. In group B only 20% patients developed moderate pain and were dealt with I/M diclofenac sodium. Eightyeight percent patients in group A and 60% patients in group B developed mild to moderate bleeding in first postoperative week, which was self limiting. 6 patients developed severe bleeding after hemorrhoidectomy requiring blood transfusion. During six month follow up, two patients (4%) of open hemorrhoidectomy and 3 patients (6%) of RBL presented with recurrence and respective procedures were repeated. Conclusions: Rubber band ligation is safe, quick, economical and effective method for the treatment of 2nd and 3rd degree hemorrhoids.
%K Hemorrhoidectomy
%K Rubber Band Ligation (RBL)
%K Barron¡¯s Band.
%U http://www.theprofesional.com/article/2011/Vol-18-no-4/007%20Prof-1824.pdf