DOI: 10.36347/sjams.2019.v07i08.031

Pages: 2779-2783

Hemorrhoids are a common disease affecting people of all ages and both sexes, one of the common reasons for surgical OPD visit. Hemorrhoids are masses or clumps or “cushions” of tissues consisting of muscle and elastic fibers with enlarged, bulging blood vessels and surrounding supporting tissues present in the anal canal of an individual suffering from the disease. In this study we tried to find out effectiveness of Rubber band ligation technique 1st degree, 2nd degree & some of the 3rd degree hemorrhoids. Methods: All the patients coming to surgical OPD of tertiary care teaching hospital from June 2016 to December 2017 and diagnosed as a case of Hemorrhoids were included in study. Proctoscopic examination found to have first-, second-, and non-bulky, non-edematous third-degree hemorrhoids were included for band ligation. Results: Total of 64 patients 37 were males and 27 were females. Bleeding per rectum (52%), discomfort during defecation (58%) and constipation (47%) was most common symptoms. Most common post-ligation/residual symptoms were bleeding (32 %), pain & discomfort (29.4 %) & constipation (21 %).70 % of patients are cured and 14 % have shown significant improvement. Conclusion: Rubber band ligation as first line treatment for 2nd degree lesion, however for 3rd degree lesion Open hemorrhoidectomy is always better.