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Ammara Bakhtawar¹, Muhammad Abubakre Khalid² and Ayesha Arshad¹

ABSTRACT

Objective: To compare Milligan-Morgan haemorrhoidectomy with rubber band ligation technique in management haemorrhoids.

Study Design: Prospective comparative study

Place and Duration of Study: This study was conducted at the department of surgery (surgical Unit I) Nishtar Hospital, Multan from October 2016 to March 2017.

Materials and Methods: This prospective comparative study was conducted in the department of surgery (surgical Unit I) Nishtar Hospital, Multan from October 2016 to March 2017. Total number of patients were divided into two groups (group A and B) by lottery method. Mean and SD was calculated for numerical data like age, similarly frequency percentages were calculated categorical data like gender, degree of haemorrhoids, rectal bleeding, constipation, prolapsed, discharge, pain, complications, urinary retention, low back pain and anal stenosis. Chi square test was applied for effect modification or association of outcome variables with effect modifiers. P value < 0.05 was considered as significant.

Results: Overall, there were 100% (n=534) patients; the study population was sub-divided into two groups, equally; 100% (267) in each. In group A, Milligan-Morgan haemorrhoidectomy was performed and rubber band ligation was performed, in patients of group B. Different complications were seen as pain in 76% (n=203) patients, bleeding in 18.4% (n=49) patients, Urinary retention in 17.2% (n=46) patients, Anal stenosis in 4.9% (n=13) patients and low back pain in 9.0% (n=24) patients, in group A. While, in group B, pain was noted as in 8.2% (n=22) patients, bleeding in 2.2% (n=6) patients, Urinary retention in 3.0% (n=8) patients.

Conclusion: Results of our study concluded that Rubber band ligation is better choice for the treatment plan of haemorrhoids when evaluated in terms of complication rate and outcomes.

Key Words: Haemorrhoidectomy,Milligan-Morgan, Rubber band ligation, Rectal Bleeding.