Comparison of  post-operative complications of rubber band ligation & sclerotherapy in the management of second degree hemorrhoid

Khedkar Indira; Gurnani Jenil C.; Jyoti Rekha Desai

Volume : IV, Issue : VII, July - 2015

Comparison of post-operative complications of rubber band ligation & sclerotherapy in the management of second degree hemorrhoid

Khedkar Indira, Gurnani Jenil C. , Jyoti Rekha Desai

Abstract :

Introduction: Hemorrhoids are one of the most common reasons that patients seek consultation from a colon and rectal surgeon. Sclerotherapy had been used in the office setting prior to ligations for internal hemorrhoid bleeding. Rubber band ligation is perhaps the most common outdoor procedure performed as it can be accomplished quickly without anesthesia or a bowel preparation The present study was conducted to find post operative complications of rubber band ligation & sclerotherapy in the management of second degree hemorrhoid .Aims & objectives : To find post operative complication of rubber band ligation & sclerotherapy in the management of second degree hemorrhoid. Material & Methods: History of Retention of Urine, Post-Operative Pain, Immediate Bleeding in the subjects in both types of surgeries, Causes of post-operative bleeding, Follow up at 7 days , at 3weeks,at 6 months. Result: We found statistically significant difference indicating that retention of urine is more in Sclerotherapy group.post operative bleeding in more in Sclerotherapy group. Among the RBL cases, 4 patients of had bleeding PR,2 had post operative pain and none had sphincter spasm .Out of the 5 patients having complaint of post operative bleeding in RBL group, 4 patients had band slippage (80%) and in one patient it was due to faulty technique (20%)& recurrence rate is less in RBL compared to Sclerotherapy. Conclusion: Although Sclerotherapy is cost effective and a simple method which can be done single handedly and not requiring specialized instruments while RBL requires specialized instruments and an assistant. RBL is a better and more efficient method than Sclerotherapy in treatment of second degree hemorrhoids in terms of lesser postoperative complications and recurrence rate