DOI: 10.36347/sasjs

Pages: 34-39

Traditional treatment methods for haemorrhoids fall into two broad groups – less invasive techniques including Barron’s Banding (BB), which tend to produce minimal pain, and the more radical techniques like Surgical Excision Ligation (SEL), which are inherently more painful. For decades, innovations in the field of haemorrhoidal treatment have centered on modifying the traditional methods to achieve a minimally invasive, less painful procedure and yet with a more sustainable results. The availability of newer techniques has reopened debate on the roles of traditional treatment options of haemorrhoids. The main objective is to review the efficacy and safety of the two most popular conventional methods of haemorrhoidal treatment, Barron’s Banding and Surgical Excision Ligation. The method is fifty patients with second and third degree haemorrhoids were randomly allocated to Barron’s banding (25) or Surgical Excision Ligation (25). One, two or three piles were ligated in single session. Both the groups were compared postoperatively for their complications and duration of hospital stay. In results the Haemorrhoidectomy caused pain in all cases for more than 48 hours while Barron’s Bannding caused pain in only 13.33% of cases. None of the patients in BB group presented with bleeding and urinary retention post-operatively while 33.33% of patients in SEL group presented with urinary retention post-operatively. In conclusion the Barron’s Banding is safe and effective therapy for sympatomatic internal haemorrhoids. BB as an outpatient procedure is an effective treatment for second and third degree haemorrhoids and should be considered before recourse to surgery