Rubber Band Ligation

Rubber Band ligation of internal hemorrhoids is a well-established and accepted office procedure. However, there are several reports focusing on problems associated with this technique, which is perceived by many to be risk-free.

This randomized study is aimed to compare radio-frequency coagulation and rubber band ligation of hemorrhoids on the parameters of effectiveness and comfort. Eighty patients of 2nd degree bleeding piles were randomized prospectively for band ligation or radio-frequency coagulation (36 patients) technique. Parameters measured included postoperative discomfort and pain, time taken to return to work, complications accompanying the procedure and recurrence rate. The post defecation pain was more severe with band ligation (p=0.01) and so was rectal tenesmus (p=0.01). The patients from radio-frequency coagulation group resumed their duties early (2 versus 5 days, p=0.05). Recurrence rate was lower in rubber band ligation group. Rubber band ligation is associated with significantly higher post treatment pain and discomfort. As against this, radio-frequency coagulation results in significantly less pain and post defecation discomfort. However, chances of recurrence of bleeding and prolapse of hemorrhoids are comparatively lower using rubber band ligation of hemorrhoids.

We suggest that before you do anything about your hemorrhoids you first research into both the surgical and non-surgical ways of relieving hemorrhoids.