2010 Volume 63 Issue 10 Pages 826-830
Traditionally, the divided ligation technique for hemorrhoids has been used by Seishu Hanaoka, Soken Honma and K. Hata in Japan. Y. Masuda et al. carried out the divided ligation of hemorrhoids with some modifications. This method is indicated for 3rd-degree or 4th degree internal hemorrhoids. Mean length of healing was 29.1-35.5 days. As for postoperative complications, 0.51-0.84% of patients developed minor bleeding, and only a few patients required catheterization for urination.
Rubber band ligation is indicated for 2nd-degree or 3rd-degree internal hemorrhoids, but is not indicated for very small or fibrosed ones. This method may not require anesthesia. It is effective in 80-90%, with 1.2-12% of patients being operated on afterwards. As for postoperative complications, 0-18% of patients developed minor bleeding and 0.8-33.2% patients had some pain.
