“anal Stretching and Ligation Technique for Treatment of Hemorrhoids.”

Introduction– Open hemorrhoidectomy described by Milligan and Morgan is one of the common procedures done for hemorrhoids till date. Now a day’s rubber band ligations, radiofrequency ablation with plication, stapled hemorrhoidectomy are also being used. But these methods are not available in all centers. Some are costly too. There is also another method known as anal stretching and ligation originally described by Farag in1978 is a simple method used in our Medical institute with some modification. Methods – The study of 250 patients with hemorrhoids was done in R. D. Gardi medical college from March 2008 to September 2011. The patients were randomly divided into two groupsgroup A for patients undergoing anal stretching and ligation and group B for patients undergoing open hemorrhoidectomy [125 patients in each group]. Results – The time for first bowel clearance was less in group A [1 to 1.5 days] as compare to group B [2 to 2.5 days]. The post operative stay was shorter in group A [2-4 days] than group B [3-5 days]. In “group A”, the postoperative complications like incontinence, anal stenosis and anal fissures were less than “group B”. Conclusion– The procedures like open hemorrhoidectomy are more destructive and there is again a need of much easier procedures like Anal stretching and ligation of hemorrhoids.