Diseases of the Colon & Rectum

, Volume 26, Issue 11, pp 705-708

First online:

A randomized comparison of single and multiple rubber band ligations

  • Indru T. KhubachandaniAffiliated withDivision of Colon and Rectal Surgery, Allentown Affiliated Hospitals

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One hundred consecutive office patients with internal hemorrhoidal disease were treated by rubber band ligations. They were assigned randomly to one, two, or three ligations at one session. No statistically significant differences in morbidity or complications resulted from multiple ligations, as compared with one ligation. No serious complications were encountered in any of the treatment groups. These results confirm that multiple rubber band ligation is as safe and effective a procedure for managing internal hemorrhoidal disease as single ligations.

Key words

Hemorrhoids, internal Ligation, rubber hand