The HubBLe Trial: haemorrhoidal artery ligation (HAL) versus rubber band ligation (RBL) for symptomatic second- and third-degree haemorrhoids: a multicentre randomised controlled trial and health-economic evaluation.
Haemorrhoidal artery ligation led to fewer recurrences of haemorrhoids after 1 year than rubber band ligation but with more early pain, and is unlikely to be cost-effective for the NHS
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