COMPARISON OF THE CONSEQUENCE OF RUBBER BAND LIGATION VERSUS MILLIGAN MORGAN HEMORRHOIDECTOMY IN 3RD DEGREE HEMORRHOIDS

Abstract

Background: Treatment possibilities vary according to patient’s presenting complaints and stage of disease and range from topical applications and dietary modifications to office procedures like rubber band ligation and sclerotherapy to surgical management like hemorrhoidectomy and stapled anopexy. Among these procedures, rubber band ligation (RBL) and hemorrhoidectomy are the most frequently performed.
 Objectives: To compare the outcome (in terms of post-operative pain and bleeding)of rubber band ligation versus Milligan Morgan hemorrhoidectomy in 3rd degree hemorrhoids.
 Materials & Methods: Total 86 patients with 3rd degree hemorrhoids, 25-60 years of age of both genders were selected. Group A included the cases in which rubber band ligation was done while group B included the cases where Milligan Morgan hemorrhoidectomy was done. All the patients were assessed up to 72 hours for outcome (bleeding and post -operative pain).
 Results: The mean age in group A was 38.58 ± 7.57 years and in group B was 38.21 ± 7.33 years. Out of 86 patients, 59 (68.60%) were males and 27 (31.40%) were females with ratio of 2.2:1. Patients with post-operative pain in Group A were 04 (9.30%) and in group B were 32 (74.42%) after hemorrhoidectomy (p-value = 0.0001). Post-operative bleeding was seen in 02 (4.65%) after rubber band ligation and in 12 (27.91%) after hemorrhoidectomy (p-value = 0.003).
 Conclusion: This study concluded that the post-operative pain and bleeding is less after rubber band ligation in 3rd degree hemorrhoids as compared to Milligan Morgan hemorrhoidectomy.