We have reviewed and summarized 12 years of experience in treating hem
orrhoids, a condition that affects 4.4% of the Western population, of
whom a third are symptomatic and need treatment. During this time, in
a proctological outpatient clinic of an urban hospital, 2,934 patients
with second- and third-degree hemorrhoids were treated by rubber band
ligation (RBL), usually one ligation per session. Of these patients,
79% were completely cured, 18% needed one or more additional sessions
of treatment, and 2.1% failed to be cured by RBL and were referred for
conventional hemorrhoidectomy. We found that by using this safe and c
onvenient treatment we can save hundreds of hospitalization days and t
housands of sick-leave days per year.