Diseases of the Colon & Rectum

, Volume 26, Issue 11, pp 705–708 | Cite as

A randomized comparison of single and multiple rubber band ligations

  • Indru T. Khubachandani


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 


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  1. 1.
    Khubchandani IT, Trimpi HC, Sheets JA. Closed hemorrhoidectomy with local anesthesia. Surg Gynecol Obstet 1972;135:955–7.PubMedGoogle Scholar
  2. 2.
    Blaisdell PC. Prevention of massive hemorrhage secondary to hemorrhoidectomy. Surg Gynecol Obstet 1958;106:485–8.PubMedGoogle Scholar
  3. 3.
    Barron J. Office ligation of internal hemorrhoids. Am J Surg 1963;105:563–70.PubMedCrossRefGoogle Scholar
  4. 4.
    Barron J. Office ligations treatment of hemorrhoids. Dis Colon Rectum 1963;6:109–13.PubMedGoogle Scholar
  5. 5.
    Groves AR, Evans JC, Alexander-Williams J. Management of internal haemorrhoids by rubber band ligation. Br J Surg 1971;58:923–4.PubMedGoogle Scholar
  6. 6.
    Steinberg DM, Liegois H, Alexander-Williams J. Long term review of results of rubber band ligation of haemorrhoids. Br J Surg 1975;62:144–6.PubMedGoogle Scholar
  7. 7.
    Wrobleski DE, Corman M, Veidenheimer MC, Coller JA. Longterm evaluation of rubber ring ligation in hemorrhoidal disease. Dis Colon Rectum 1980;23:478–82.PubMedGoogle Scholar
  8. 8.
    Keighley MRB, Buchman P, Minervini S, Arabi Y, Alexander-Williams J. Prospective trials of minor surgical procedures and high-fibre diet for haemorrhoids. Br Med Jr 1979;2:967–9.Google Scholar
  9. 9.
    Murie JA, MacKenzie I, Sim AJW. Comparison of rubber band ligation and haemorrhoidectomy for second-and third-degree haemorrhoids: a prospective clinical trial. Br Jr Surg 1980; 67:786–8.Google Scholar
  10. 10.
    Murie JA, Sim AJW, MacKenzie I. Rubber band ligation versus haemorrhoidectomy for prolapsing haemorrhoids: a long term prospective clinical trial. Br Jr Surg 1982;69:536–8.Google Scholar
  11. 11.
    Lau WY, Chow HP, Poon GP, Wong SH. Rubber band ligation of three primary hemorrhoids in a single session. Dis Colon Rectum 1982;25:336–9.PubMedGoogle Scholar
  12. 12.
    Salvati EP. Symposium: anorectal surgery—hemorrhoids. Dis Colon Rectum 1980;23:211–22.Google Scholar
  13. 13.
    Shub HA. Hemorrhoidal banding (letter to the editor). Dis Colon Rectum 1981;24:411.Google Scholar
  14. 14.
    O'Hara VS. Fatal clostridial infection following hemorrhoidal banding. Dis Colon Rectum 1980;23:570–1.PubMedCrossRefGoogle Scholar
  15. 15.
    McGivney J. Hemorrhoidal banding (letter to the editor). Dis Colon Rectum 1981;24:577.PubMedGoogle Scholar

Copyright information

© American Society of Colon and Rectal Surgeons 1983

Authors and Affiliations

  • Indru T. Khubachandani
    • 1
  1. 1.Division of Colon and Rectal SurgeryAllentown Affiliated HospitalsAllentown
  2. 2.Little Lehigh Medical CenterAllentown

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