COMPARATIVE CLINICAL STUDY OF MADHU (HONEY) BASED KSHARA SUTRA LIGATION AND BARRON'S RUBBER BAND LIGATION IN HEMORRHOIDS - A PILOT STUDY
DOI:
https://doi.org/10.70066/jahm.v1i6.117Keywords:
Arsha, Barron's rubber band ligation, hemorrhoids, kshara Sutra ligationAbstract
Background:
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.
Results:
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.
Conclusion:
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.
Published
How to Cite
Issue
Section
License
Copyright (c) 2021 K.V. CHAKRADHAR
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
The author(s) will retain copyright and permit the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that permits others to share the work with an acknowledgment of the author and initial publication in this journal.
The entire contents of the JAHM are protected under Indian and international copyrights. The Journal, however, allows free, irrevocable, worldwide, perpetual right of access to, and a license to copy, use, distribute, perform and display the work publicly and to make and distribute works in any online website for any non-commercial purpose, subject to proper attribution of authorship and ownership of the rights. The journal also permits the right to make small numbers of printed copies for their personal non-commercial use under Creative Commons Attribution-Noncommercial-Share Alike 4.0 License.
In case of JAHM does not publish said work, the author(s) will be so notified and all rights assigned hereunder will be given back to the author(s).
All accepted works should not be published anywhere without prior written permission from JAHM. The author(s) hereby declare that they are sole author(s) of the work, that all authors have contributed and agree with the content and conclusions of the work, that the work is original, and does not infringe upon any copyright, propriety, or personal right of any third party, and that no part of it nor any work has been submitted to another journal.