COMPARATIVE CLINICAL STUDY OF MADHU (HONEY) BASED KSHARA SUTRA LIGATION AND BARRON'S RUBBER BAND LIGATION IN HEMORRHOIDS - A PILOT STUDY

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. Hence this trial aims to evolve the risk factors, common manifestations and adaptations in the treatment of hemorrhoids with Kshara Sutra  Ligation (KL) and Barron's Rubber Band Ligation (RL). 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.  Findings in each case were recorded over a follow-up of four weeks (postoperative days 1, 3, 7, 15 and 30). 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 0.05). 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.