Long-Term Outcome of Rubber Band Ligation for Symptomatic Primary and Recurrent Internal Hemorrhoids

Abstract

Rubber band ligatures are safe and effective therapy for symptomatic internal hemorrhoids. It can be used to treat all degrees of hemorrhoids with similar effectiveness. The likelihood of success is lower if more than four bands are needed to eliminate symptoms. The use of acetylsalicylic acid/nonsteroidal anti-inflammatory drugs and warfarin is associated with higher bleeding rates. Rubber band ligatures for recurrence of symptoms is effective; however, time to recurrence is less with subsequent treatments.

Comparative Study of Staging Rubber Band Ligation (RBL) and Hemorrhoidectomy in Treatment of Forth Degree Hemorrhoids

“…Other most common symptoms among this group of patients were bleeding followed by pain, discharge and pruritus. This finding is similar to others {Longman, 2006, A prospective study of outcome from rubber band ligation of piles} (4,6,9).…”

“…In two surveys performed by Iyer et al and longman et al Rubber band ligation considered a safe and effective therapy for symptomatic internal hemorrhoids that can be used to treat all degrees of hemorrhoids with similar effectiveness (6,11).…”

“…There are a few studies available analyzing the effectiveness of RBL as an initial treatment for grade four symptomatic internal hemorrhoids (6,11,12). This study was designed to evaluate the success of staging RBL in treatment of grade four hemorrhoids, analyzing its complication and finally comparing the result with conventional hemorrhoidectomy.…”

“…), minimally invasive methods (rubber band ligation, sclerotherapy, infrared photocoagulation), and surgical techniques include Milligan-Morgan, closed Ferguson and other surgical methods that have to be used in about 10% of cases (4,5). Rubber band ligation (RBL) is the most frequently used nonoperative technique because of its effectiveness and low complication rate as well as its short recovery time compared to the operative procedure (6)(7)(8).…”

Rubber Band Ligation for Hemorrhoids: an Office Experience

“…The most common presentation of hemorrhoids is rectal bleeding and prolapsing. Constipation, pruritus, and pain might also be presented [8].…”