Comparative study of various modalities of treatment for internal Haemorrhoid
Mayank Kumar, Jagadish B, Gopinath Pai
Background: Haemorrhoid is one of the most common gastrointestinal disorders seen by the general surgeons. Despite its prevalence and low morbidity, haemorrhoid disease has a high impact on quality of life. Management options for disease of haemorrhoids are diverse, ranging from conservative measures to a variety of office and operating room procedures.Aims and Objective1. This study was aimed to evaluate the role of open haemorrhoidectomy, banding and cryosurgery in the treatment of haemorrhoids.2. To compare the above treatment modalities and to know its advantages and disadvantages.Methods: Among the 120 patients who were diagnosed to be having grade 2 and grade 3 intrnal haemorrhoids were randomly grouped into three categories. 40 patients underwent open haemorrhoidectomy, 40 patients underwent banding and 40 patients underwent cryosurgery. Detailed history was taken followed by per rectal digital examination and proctoscopy. Age group incidence, most common presenting complaint of haemorhhoids was studied. Complications were compared like, postoperative pain, bleeding per rectum, discharge per rectum, stenosis and reccurrence. Vas score for pain considered.Results: Highest incidence of haemorrhoids was found in 4th decade. Most common presenting complaint was bleeding per rectum. Postoperative stay is least for barron’s banding and cryosurgery while maximum in open haemorrhoidectomy. Postoperative bleeding, pain was maximum in open haemorrhoidectomy while least for cryosurgery. Reccurence was maximum in barron’s banding ligation and least in open haemorrhoidectomy. Stenosis is maximum in open haemorrhoidectomy.Conclusion: After comparing advantages and disadvantages it can be concluded cryosurgery is definitely having edge in treating grade 2 and grade 3 haemorrhoid compared with banding and open haemorrhoidectomy.