A comparative study of rubber band ligation and flavonoids (Daflon) in the treatment of haemorrhoids.

ABSTRACT

Background: Haemorrhoids is a common disease affecting people of all ages and both sexes. Though there is no confusion on the treatment of 3rd and 4th degree haemorrhoids, there is still confusion regarding the ideal treatment for 1st and 2nd degree haemorrhoids. Aims & Objective: To compare the safety, efficacy, advantages and disadvantages of Rubber Band Ligation and Micronized Flavonoids in the treatment of internal haemorrhoids. Material and Methods: Two hundred patients of haemorrhoids were treated, One hundred cases with Rubber Band Ligation and rest hundred with Daflon 500 mg. The outcome measured in term of relief from bleeding and duration of treatment. Results: 82% of patients on Daflon and 60% of patients undergoing Rubber Band Ligation were completely cured (P<0.01) on the 7th day but on follow up there is no statistical significance. Conclusion: Daflon gives rapid relief from symptoms of haemorrhoids as compared to Rubber Band Ligation but the long duration and higher cost of treatment patient acceptability and compliance is less.