Comparative Analysis of Suction Vs Forceps Band Ligation in Hemorrhoids

Rizwan  Shabbir; Sajjad Ahmad Ansari; Muhammad Ali; Hamza Ali  Malik; Usman  Ghani; Hassan  Shabbir

doi:10.51253/pafmj.v76i2.12719

Authors

Rizwan Shabbir Department of Surgery, Combined Military Hospital Multan /National University of Medical Sciences (NUMS) Pakistan
Sajjad Ahmad Ansari Department of Surgery, Combined Military Hospital Multan /National University of Medical Sciences (NUMS) Pakistan
Muhammad Ali Department of Surgery, Combined Military Hospital Multan /National University of Medical Sciences (NUMS) Pakistan
Hamza Ali Malik Department of Surgery, Combined Military Hospital Multan /National University of Medical Sciences (NUMS) Pakistan
Usman Ghani Department of Surgery, Combined Military Hospital Multan /National University of Medical Sciences (NUMS) Pakistan
Hassan Shabbir Department of Surgery, Combined Military Hospital Multan /National University of Medical Sciences (NUMS) Pakistan

DOI:

https://doi.org/10.51253/pafmj.v76i2.12719

Keywords:

Hemorrhoids, Outcome, Rubber band ligation, Visual analog scale

Abstract

Objective: To compare outcome of suction versus forceps band ligation for management of low grade hemorrhoids.

Study Design: Quasi-experimental study

Place and Duration of Study: Department of Surgery, Combined Military Hospital Multan, Pakistan from Jan 2023 to Jan 2024”.

Methodology: The quasi-experimental study included one hundred patients who were divided into two groups based on the intervention they underwent either suction or forceps rubber band ligation for second degree hemorrhoids. Patients were assessed in terms of intra-operative and post-operative outcomes including pain, recurrence and leave from work and results were compared between study groups. Data was analyzed by SPSS 22.

Results: Median age of the patients was 32.00 (65.00 – 18.00) years. There were 64(64.00%) male and 36(36.00%) female patients. Median body mass index (BMI) was 27.83 (46.00 – 21.13) kg/m². Median intra-operative pain visual analogue scale (VAS) score in suction band ligation group was 3.00 (5.00 – 2.00) while in forceps band ligation group, it was 6.00 (7.00 – 4.00), (p < 0.001). Median twenty four hours post-operative pain VAS in suction band ligation group was 2.00 (3.00 – 1.00) while in forceps band ligation group, it was 4.00 (5.00 – 2.00), (p < 0.001). No significant difference was observed between groups in terms of frequency of patients who were on leave from work by day four (p=0.552). None of the patients in both groups had recurrence of hemorrhoids at one month follow up.

Conclusion: This study concluded that the Suction band ligation significantly reduces the intra-operative and

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