Parkash Lal, Rabia Urooj, Lubna Habib, Masoom Raza Mirza.
Baron’s Band Ligation; management of Symptomatic Haemorrhoids.
Pak J Surg Jan ;29(4):278-80.

Aim: We conducted this study to assess the success rate of rubber band ligation in management of 2nd and 3rd degree haemorrhoids. Introduction: Haemorrhoids are the clinical manifestation of the downward disruption of normal functional architecture known as the anal cushions. Th ere are various treatment options available for this common problem but Baron’s rubber band ligation (RBL) is most widely used procedure in 2nd and 3rd degree haemorrhoids because it resolves haemorrhoidal disease without need for hospitalization, anesthesia, minimum complications and uneventful discharge from outpatient clinic when compared to conventional surgery. Methodology: Th is prospective observational study was carried out on sixty seven patients in Department of General Surgery, Hamdard University Hospital and other private hospitals, over a period of six months from January to June 2013 who presented with 2nd and 3rd degree haemorrhoids. Rubber band ligation was carried out in all patients. Maximum of two haemorrhoids were banded in one sitt ing and the third one banded when required at the follow up visit aft er two weeks. Post banding assessment regarding presence and absence of bleeding, pain and Prolapsed of haemorrhoids was made at the end of 4th week. Results: Th is study included sixty seven patients, 82.09% were males and 17.9% females. Th e ratio of male to female was 4.8:1.0. Mean age was 37.85 (ranges14 – 66). 71.5% patients presented with 2nd degree haemorrhoids, 19.5% patients with 3rd degree haemorrhoids while 9.0% patients with combined 2nd and 3rd degree haemorrhoids. About 68.9% patients had duration of complaints less than one year and (26.2%) patients had complaints between 1- 3 years and 4.8% patients had complaints more than 4 years. Post banding assessment was made at 4th week. In this study 28% patients developed complications. Conclusion: RBL is a simple, safe and eff ective method to treat symptomatic second and third degree haemorrhoids as an outpatient procedure.

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