Efficacy of Band Ligation vs. Hemorrhoidectomy in Grade II Hemorrhoids and Mixed Grade II with Grade III Pile Mass: A Prospective Randomised Study

Dr. K. Mahesh Babu, Dr. K. Suhas, Dr. M. Sambasiva Rao

Abstract: Background: Hemorrhoids are prevalent anorectal conditions. The optimal intervention strategy?surgical or nonsurgical?is guided by the severity of the disease. This study evaluates the effectiveness of rubber band ligation (RBL) compared to open hemorrhoidectomy in patients with Grade II and mixed Grade II?III hemorrhoids. Methods: This prospective randomized controlled trial was conducted over 18 months at ASRAM hospital. A total of 100 patients with either Grade II or mixed Grade II with reducible Grade III hemorrhoids were randomized into two equal groups: RBL (n=50) and hemorrhoidectomy (n=50). Primary endpoints included postoperative pain, complication rates, recurrence, and patient satisfaction. Results: RBL was associated with significantly less postoperative pain and earlier return to daily activities (p<0.001). However, recurrence was higher in the RBL group (20% vs. 6%, p=0.03). Patient satisfaction was initially higher in the RBL group during the early postoperative period but favored the hemorrhoidectomy group at six months. Conclusion: RBL is a suitable option for managing uncomplicated Grade II hemorrhoids due to its minimally invasive nature and faster recovery. In cases of mixed Grade II with Grade III hemorrhoids, hemorrhoidectomy remains the more definitive treatment with lower recurrence rates.

Keywords: Hemorrhoids, Rubber Band Ligation, Hemorrhoidectomy, Grade II, Grade III, Randomized Controlled Trial

How to Cite?: Dr. K. Mahesh Babu, Dr. K. Suhas, Dr. M. Sambasiva Rao, "Efficacy of Band Ligation vs. Hemorrhoidectomy in Grade II Hemorrhoids and Mixed Grade II with Grade III Pile Mass: A Prospective Randomised Study", Volume 14 Issue 7, July 2025, International Journal of Science and Research (IJSR), Pages: 1660-1662, https://www.ijsr.net/getabstract.php?paperid=MR25726145144, DOI: https://dx.doi.org/10.21275/MR25726145144