1Associate Professor, Department of General Surgery, UPUMS, Saifai, Etawah
2Assistant Professor, Department of General Surgery, UPUMS, Saifai, Etawah
3Assistant Professor, Department of General Surgery, UPUMS, Saifai, Etawah
42nd year PG Resident, Department of General Surgery, UPUMS, Saifai, Etawah
5Professor, Department of General Surgery, UPUMS, Saifai, Etawah
6Professor, Department of General Surgery, UPUMS, Saifai, Etawah
7*Assistant Professor, Department of Plastic Surgery, Subharthi Medical College, Meerut
Corresponding Author: Dr. Vinod Kumar, Assistant Professor, Department of Plastic Surgery, Subharthi Medical College, Meerut
Title: Comparison of Effectiveness and Outcome of Rubber Band Ligation vs Open Hemorrhoidectomy in Grade II Internal Hemorrhoids
Background: Hemorrhoids are a common condition associated with discomfort and rectal bleeding. Various treatment modalities exist, including rubber band ligation and open hemorrhoidectomy. This study aims to compare the effectiveness and outcomes of these two methods in Grade II internal hemorrhoids.
Methods: A total of 50 patients with Grade II internal hemorrhoids were randomly divided into two groups of 25 each: one undergoing rubber band ligation and the other undergoing open hemorrhoidectomy. Parameters evaluated included bleeding control, postoperative pain, patient satisfaction, cost-effectiveness, recurrence rates, and postoperative ambulation.
Results: The mean age of patients was in the fourth to fifth decade, with a male predominance (34/50). Patients undergoing band ligation were discharged earlier (mostly within one day) compared to those undergoing hemorrhoidectomy (average three days). Postoperative pain was significantly higher in the hemorrhoidectomy group, with 20 patients requiring prolonged NSAID use. No postoperative bleeding or recurrence was observed during follow-up. Patients undergoing banding resumed normal activities earlier. Cost analysis showed that rubber band ligation was more economical.
Conclusion: Rubber band ligation is a safe, effective, and cost-efficient treatment modality for Grade II internal hemorrhoids, with better postoperative outcomes compared to open hemorrhoidectomy.
Keywords: Hemorrhoids, Rubber Band Ligation, Open Hemorrhoidectomy, Grade II Hemorrhoids
How to cite this article: Verma RLS, Mishra G, Kumar V, Assery B, Singh SP, Gupta V, Kumar V. Comparison of Effectiveness and Outcome of Rubber Band Ligation vs Open Hemorrhoidectomy in Grade II Internal Hemorrhoids. Int J Drug Deliv Technol. 2026;16(16s): 395-397. DOI: 10.25258/ijddt.16.16s.42
Source of support: Nil.
Conflict of interest: None