Prospective Interventional Study of Rubber Band Ligation Method for the Management of Grade I and Grade II Internal Hemorrhoids

Abstract

Background: Hemorrhoids are a common anorectal disorder with significant impact on quality of life. Conservative management is the mainstay for Grade I and II hemorrhoids; however, patients with persistent symptoms require procedural intervention. Rubber Band Ligation (RBL) is a minimally invasive and cost-effective technique suitable for outpatient settings.

Objective: To evaluate the effectiveness and morbidity of RBL in managing Grade I and II internal hemorrhoids.

Methods: A prospective interventional study was conducted on 40 patients at Dr. L.N. Pandey Government Medical College, Ratlam. Patients underwent RBL using suction ligators and were followed up for two months to assess postoperative pain, bleeding, healing, and recurrence.

Results: 90% of patients experienced complete symptom relief. Minor pain occurred in 32.5%, bleeding in 10%, and recurrence in 5%.

Conclusion: RBL is a safe, effective, and minimally invasive outpatient procedure for early hemorrhoids with minimal morbidity and high patient satisfaction.