Ainul Hadi, Humera Zafar, Farrukh Ozair Shah, Shehzad Akbar Khan, Mazhar Khan, Zahid Aman.
Open haemorrhoidectomy versus rubber band ligation.
J Surg Pak Jan ;17(3):103-6.

Objective: To assess the results of open haemorrhoidectomy and rubber band ligation in terms of post operative pain and bleeding in 3rd degree haemorrhoids. Study design: A comparative study. Place & Duration of study: Surgical unit Hayatabad Medical Complex Peshawar, from July 2009 to June 2010. Methodology: A total of 100 patients were included. These were randomly divided in two groups; A and B and each group had 50 patients. Group A patients underwent open haemorrhoidectomy while group B patients had rubber band ligation procedure. Post operative complications like pain and bleeding between the two groups were compared. Results: Out of 50 patients in group A, 72% (n=36) had pain and 20% (n=10) had post operative bleeding, while in group B pain was present in 08% (n=4) and post operative bleeding in 04% (n=2) patients. P values for pain (0.007) and bleeding (0.04) were significant in favour of group B. Conclusion: Rubber band ligation is a safe and quick procedure. It is associated with less intensity postoperative pain and bleeding as compared to open haemorrhoidectomy.

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