A comparative study of pain and bleeding between Barron’s band ligation and open haemorrhoidectomy in the treatment of hemorrhoids

Abstract

Haemorrhoids have plagued humans since they attained the erect posture. The word ‘haemorrhoid’ is derived from Greek word haemorrhoides, meaning flowing of blood (haem=blood, rhoos=flowing). The word ‘piles’ comes from Latin word pila meaning a pill or ball. To be accurate, we should call the disease as piles when the patient complains of a swelling and ‘haemorrhoids’ when he or she complains of bleeding. The subjects fulfilling the inclusion criteria were divided in to two groups Group I and Group II, 1st patient was recruited in Group I and 2nd patient was recruited in group II. Similarly every odd numbered patient was recruited into Group I and even numbered patient was recruited into Group II. Group I patients underwent Open Haemorrhoidectomy and Group II patients underwent Barron’s band ligation. In Open Haemorrhoidectomy group, 72% had mild, 24% had moderate and 4% had severe pain. In Barron’s band ligation group, 24% had no pain, 76% had mild pain. There was significant difference in pain between two groups. In Open Haemorrhoidectomy group, 60% had bleeding and in Barron’s band ligation group, 28% had bleeding. There was significant difference in bleeding between two groups.