A comparative study of sclerotherapy and rubber band ligation versus open hemorrhoidectomy in second degree hemorrhoids

Amit Shivshankar Ammanagi; Tony Mathew

doi:10.18203/2349-2902.isj20191536

Authors

Amit Shivshankar Ammanagi Department of Surgery, J N Medical College, Belgavi, Karnataka
Tony Mathew Department of Surgery, Believers Church Medical College, Thiruvalla, Kerala

DOI:

https://doi.org/10.18203/2349-2902.isj20191536

Keywords:

Hemorrhoids, Sclerotherapy, Rubber band ligation, Hemorrhoidectomy

Abstract

Background: Hemorrhoids affects the quality of life and leads to significant pain and discomfort. The current study was done to evaluate the results of comparative treatment of rubber band ligation, sclerotherapy and open hemorrhoidectomy.

Methods: This was a prospective study done on 90 patients with second grade internal hemorrhoids attended to the Department of General Surgery at S. Nijalingappa Medical and Research Centre, Bagalkot during the study period from 2012 November to 2013 December. Systemic examination and basic investigations were done. According to severity and type of symptoms, patients are subjected for open hemorrhoidectomy (n=30), banding (n=30) and sclerotherapy (n=30).

Results: Occurrence of hemorrhoids was seen between the age group of 36 to 45 years. Out of 90 patients 52 were males and 38 were females. Common presenting complaint was bleeding per rectum and mass per rectum in 33.33% of patients. Postoperative hospital stay was 1 day in the groups treated with rubber band ligation and sclerotherapy and in open hemorrhoidectomy 28 patients stayed for 3 days and 2 patients for 5 days. About 70% of patients belonging to rubber band ligation and sclerotherapy group gave excellent response to the same.

Conclusions: In our study, rubber band ligation technique was found to be more cost effective and reliable to treat second grade hemorrhoids with lesser postoperative complications followed by sclerotherapy and hemorrhoidectomy.

Metrics

Metrics Loading ...

References

Cohen Z. Alternatives to surgical haemorrhoidectomy. Can J Surg. 1985;28:230–1.

Agbo SP. Surgical management of hemorrhoids. J Surg Tech Case Rep. 2011;3(2):68-75.

Beck DE. Hemorrhoidal disease. In: Beck DE, Wexner SD, editors. Fundamentals of anorectal surgery. 2nd ed. London: W B Saunders; 1998: 237–253.

Gartell PC, Sheridan RJ, McGinn FP. Outpatient treatment of haemorrhoids: A randomized clinical trial to compare rubber band ligation with phenol injection. B J Surg. 1985;72:478–9.

Mann CV, Russell RC, Williams NS. Bailey and Love's Short Practice of Surgery. 22nd ed. London: Chapman and Hall; 1995: 873–874.

Charua GL, Avendano EO, Hernandez CF. Infrared photocoagulation in the treatment of hemorrhoids. Rev Gastroenterol Mex. 1998;63:131–4.

Bhuiya MFA, Rahman S, Ali A. Effectivity of injection sclerotherapy on early haemorrhoids. J Armed Forces Medical College, Bangladesh. 2010;(6):25-7.

Jehan S, Bhopal FG, Ali M. Sclerotherapy versus rubber band ligation comparative study of efficacy and compliance in treatment of uncomplicated second degree haemorrhoids. Professional Med J. 2012;19(2):222-7.

Mohan NK, Ramesh D, Raufuddin MK. Comparative study of various methods of treatment in relation to post procedural complications of haemorrhoidal disease. JEBMH. 2016;3(11):314-20.

Lee H, Spencer RJ, Beart Jr RW. Multiple Haemorrhoidal bandings in a single session. Dis Colon Rectum 1994;37:37-41.

Steinberg DA, Liegois HJ, Willaims A. Long term review of the results of rubber band ligation of haemorrhoids. BJS. 1975;62:144–6.

MacRae HM, McLeod RS. Comparison of Haemorrhoidal Treatment Modalities. A meta-analysis. Dis Colon Rectum 1995;38(7):687–94.

Arabi Y, Gatehouse D, Williams AJ, Keighley MRB. Rubber bandligation or lateral subcutaneous sphincterotomy for treatment of haemorrhoids.Br J Surg. 1977;64:737-40.

Murie JA, Mackenzie I, Sim AJ. Comparison of rubber band ligation and hemorrhoidectomy for second and third degree haemorrhoids: a prospective clinical trial. BJS. 1980;67(11):786–8.