Efficacy of band ligation in preventing post operative complications for grade III haemorrhoids

Abstract

Background: Several factors have been attributed to the cause of haemorrhoids of which diet and lifestyle forms the predominant factors, in addition to increased intra-abdominal pressure. Haemorrhoids are treated surgically by haemorrhoidectomy although the comprehensive management involves diet and life style modification. This study was carried out to compare the efficacy of band ligation and standard haemorrhoidectomy in terms of post-operative complicationsMethods: This randomized controlled trial was carried out among 50 patients, equally randomized into experiment (band ligation) and control (haemorrhoidectomy) groups. A structured interview schedule was used to obtain data regarding the complications during the follow up period at immediate, one month, three months and six months.Results: On comparing the post-operative complications, during all the follow up periods, complications were higher among the haemorrhoidectomy group (100%) compared to band ligation group. The association was statistically significant. (P value < 0.0001).Conclusion: Considering the non-invasiveness of the procedure and minimal complications, band ligation may be implemented as a standard protocol in the management of grade III haemorrhoids.