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Objectives: To compare the outcome of Rubber band ligation with open hemorrhoidectomy in short term and its
suitability in our social set up.
Material and Methods: One hundred and twenty patients were enrolled from November 2007 to May 2009. They
were equally divided into group A (open hemorrhoidectomy) and group B (Rubber band ligation). Postoperative
complications, recurrence and patient’s satisfaction rate were recorded.
Results: Pain was the most common complaint. About 91.7% of patients in Group A while 15% in Group B
complained of pain which was significant (p-value = 0.001). Immediate post-operative bleeding was 18.3% in group
A and 6.7% in group B. Transient flatus incontinence (5%) was recorded in group A, no incontinence in group B. Anal
stenosis was 0.3% in group A while no anal stenosis was recorded in B. recurrence rate was significantly higher in
group B (13.3% p-value = 0.048). Rate of satisfaction was higher in group A (93.3% versus 86.7%), but statistically it
was not significant.
Conclusion: Rubber band ligation is safe, effective method to treat the 2nd and 3rd degree hemorrhoids with less
satisfaction than open hemorrhoidectomy which is statistically insignificant.
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