31. Suction versus Forceps Band Ligation –A comparative Analysis
Mirza Arshad Beg, Sheeraz ur Rahman, Faisal Siddiqi, Salman Faridi and Ibrahim Idrees
ABSTRACT
Objective: The objective of this study was to compare mean intra and post procedure pain score of suction band ligation with forceps ligation in the treatment of 2nd degree hemorrhoids, at a tertiary care hospital in Karachi.
Study Design: Randomized Controlled Trial study.
Place and Duration of Study: This study was conducted at the Department of General Surgery at Liaquat National Hospital, Karachi from January 2014 to June 2014.
Materials and Methods: Sixty patients of either gender having 2nd degree hemorrhoids for more than two months and undergoing band ligation were included in this study. Patients with 1st, 3rd or 4th degree hemorrhoids, presence of concurrent painful anal conditions (anal fissure, anal fistula, perianal sinus, abscess, thrombosed hemorrhoids) and having inability to comprehend and respond to Visual Analog Scale were excluded. The procedure was performed by a consultant surgeon having experience more than five years. Patients were approached immediately after the procedure and responses of patients about intra procedural pain were recorded on proforma according to Visual Analog Score. Post procedural pain was assessed at 2 hours after the procedure by VAS and recorded.
Results: Age range in study was from 20 to 40 years with mean age of patients was 41.83 ± 14.07 years. The mean Intra-procedure pain was observed to be 2.27 ± 2.31. Group A (suction banding) reported a mean intra-procedure pain score of 1.13 ± 1.24 as compared to Group B (forceps banding) reporting a mean score of 3.62 ± 2.63. The mean Post-procedure pain was observed to be 0.42 ± 0.78. Participants in the Suction banding group (Group A) reported a mean post-procedure pain score of 0.20 ± 0.56 whereas; Group B participants undergoing forceps banding reported a mean VAS score of 0.76 ± 0.97, post procedure. Comparatively, the mean post-procedure pain scores were found to be highly significant. (P-value: 0.008).
Conclusion: The study has shown that treatment outcome in terms of intra-procedure and post-procedure pain is different in suction band ligation as compared to forceps band ligation in treatment for second degree haemorrhoids. There appears to be a highly significant difference in terms of intra-procedure and post-procedure pain between Suction band ligation and forceps band ligation in second degree hemorrhoids treatment. Key Words: Hemorrhoids, Band ligation, Pain.
Citation of article: Beg MA, Rahman S, Siddiqi F, Faridi S, Idrees I. Suction versus Forceps Band Ligation – A comparative Analysis. Med Forum 2017;28(6):121-124.