COMPARISON BETWEEN INJECTION SCLETHERAPY AND RUBBER BAND LIGATION IN THE TREATMENT OF SECOND DEGREE HEMORRHOIDS

Objective: The aim of this study is to make a comparison between the efficiency of (RBL) Rubber Band Ligation & (IST) injections Sclerotherapy for treatment of second degree haemorrhoids for improvement in (SS score) i.e. symptoms severity score in (OPD) patients. Study Design: It was a study of (randomized controlled trial). Place and Duration of Study: The research was done in the surgical (OPD) of Mayo Hospital Lahore in the duration from 15 Oct, 2017 to 10 Apr, 2018. Material and Methods: 116 patients having symptoms of second degree haemorrhoids were classified in 2 groups randomly as (RBL) & (IST) and 58 subjects in each group respectively. A baseline (symptoms severity score) was recorded for every patient. Both the groups were treated accordingly as (RBL) group treated with RBL and (IST) with the same IST. Results were all about relief of symptoms and improvement in SS score. Results: The baseline SS score in (RBL) was (4.67 ± 2.01) and minimized to final average SS score of (1.34 ± 0.96). The baseline SS score in (IST) group was found (4.31 ± 2.13) & it was minimized to final average SS score of (1.6 ± 0.97). The patients who have complete recovery & controlled bleeding in (RBL) group was 44 at 75.95 percent and this number was 32 at 55.1 percent in (IST) group after 2 weeks. Conclusion: (RBL) i.e. Rubber band ligation has better results of patient than (IST) i.e. injections sclerotherapy for treating (second degree haemorrhoids). Keywords: Symptoms severity score, rubber band ligation, internal haemorrhoids, Sclerotherapy