COMPARATIVE CLINICAL STUDY OF MADHU (HONEY) BASED KSHARA SUTRA LIGATION AND BARRON'S RUBBER BAND LIGATION IN HEMORRHOIDS - A PILOT STUDY
Keywords:Arsha, Barron's rubber band ligation, hemorrhoids, kshara Sutra ligation
Hemorrhoids are one of such diseases which give a challenge to find satisfactory cure for the disease despite of a long medical history of identification and treatment. To treat the cases of hemorrhoids, there are many treatment modalities in medical science, but the question is of recurrence and complications.
Aims: To evaluate the efficacy of Madhu(Honey)- based Apamarga Kshara Sutra in the treatment of hemorrhoids while comparing with Barron's Rubber Band Ligation.
Materials and methods:
This study was conducted in 20 adult patients of either sex with grade II and grade III hemorrhoids. Patients were randomly allotted to two groups of 10 patients each. Group I patients underwent RL, whereas patients of group II underwent KL. Statistical analysis was done using Student's t test for parametric data and Chi square test & Mann-Whitney test for non-parametric data.
RL had the advantages of being an OPD procedure requiring no anesthesia and was attended by significantly lesser postoperative recumbence (P< 0.001) and significantly lesser pain (P < 0.005 on day 1) as compared to KL. However, Group II (KL) scored better in terms of treatment outcome. In Group II, there was significantly high (P < 0.05) patient satisfaction index as compared to Group I. Group II reported 100% 'cure' (absence of hemorrhoid masses even on proctoscopy) of internal hemorrhoid prolapse as against 80% in Group I (RL). However, this difference was statistically insignificant (P > 0.05). Both the groups were comparable statistically on all other grounds.
On the basis of the results of this study it may be concluded that, Kshara Sutra Ligation (KL) is a useful form of treatment for Grades II and III internal hemorrhoids. Recurrence rate is negligible and it had been found overall low-cost effective procedure.
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