TY - JOUR AU - Liaqat, Fahim AU - Butt, Muhammad Qasim AU - Ghani, Usman AU - Tariq, Mansoor AU - Khan, Muhammad Shoaib AU - Asif, Abeer PY - 2022/08/26 Y2 - 2024/03/29 TI - Rubber Band Ligation (RBL) vs Standard Hemorrhoidectomy (SH) for Treatment of Haemorrhoids JF - Pakistan Armed Forces Medical Journal JA - PAFMJ VL - 72 IS - 4 SE - Original Articles DO - 10.51253/pafmj.v72i4.6574 UR - https://pafmj.org/PAFMJ/article/view/6574 SP - 1168-71 AB - <p><strong>Objective:</strong> To compare rubber band ligation (RBL) vs standard hemorrhoidectomy for the treatment of haemorrhoids.</p><p><strong>Study Design:</strong> Quasi-experimental study.</p><p><strong>Place and Duration of Study:</strong> Department of General Surgery, Pak Emirates Military Hospital Rawalpindi, from Feb 2020 to Jan 2021.</p><p><strong>Methodology:</strong> A total of 200 patients with 2nd and 3rd-degree haemorrhoids who met the inclusion and exclusion criteria were included in the study. Group-A patients underwent rubber band ligation, while in Group-B, Milligan Morgan hemorrhoid-dectomy was done.</p><p><strong>Results:</strong> There were 200 patients (100 in each Group). There were 135 males (67.5%) and 65 females (32.5%). The female to male ratio was 1:2.01. Mean age was 44.73 ± 8.36 years in Group-A and 43.48 ± 8.98 years in Group-B. Mean duration of complaints was 8.72 ± 4.32 months in Group-A and 10.89 ± 3.80 in Group-B. Post-procedure patients were called for follow up in a third and eighth week. The most common complication seen in Group-A was recurrence which was 18% (p-value 0.001), and pain in Group-B, 82% (p-value 0.001), which was statistically significant.</p><p><strong>Conclusion:</strong> We concluded that Rubber band ligation is a quick, safe and cost-effective procedure for the outpatient department for Grade II and III haemorrhoids. The recurrence rate is high compared to standard hemorrhoid-dectomy, but its advantages make it a first-line procedure for Grade II and III haemorrhoids in the outpatient departments.</p> ER -