Comments to ‘Rubber band ligation versus excisional haemorrhoidectomy for haemorrhoids’

Abridged Abstract

Objective

To review the efficacy and safety of the two most popular conventional methods of haemorrhoidal treatment, rubber band ligation and excisional haemorrhoidectomy (EH). The original study has now been updated using the same search strategy.

Search methods

We searched MEDLINE, EMBASE, CENTRAL, and CINAHL up to October 2010.

Selection criteria
Randomised controlled trials comparing rubber band ligation with EH for symptomatic haemorrhoids in adult human patients were included.

Data collection and analysis
We extracted data on to a previously designed data extraction sheet. Dichotomous data were presented as relative risk and 95 % confidence intervals, and continuous outcomes as weighted mean difference and 95 % confidence intervals.

Main results

Three trials (of poor methodological quality) met the inclusion criteria. Complete remission of haemorrhoidal symptom was better with EH (three studies, 202 patients, RR 1.68, 95 % CI 1.00–2.83). There was a significant heterogeneity between the studies (I2 = 90.5 %; P = 0.0001). Similar analysis based ...

Source: Techniques in Coloproctology - March 28, 2016 Category: Surgery Source Type: research