Dr Hafiz Muhammad Umer Farooq, Dr Toqeer Abbas, Dr Ahmed Raza
Objective: A comparison between the efficacy of Rubber band ligation Rubber Band Ligation & (IST) Injection Sclerotherapy for treatment of second-degree haemorrhoids for improvement in SS score i.e., symptoms severity score in (OPD) patients. Material and Methods: It was a randomized controlled trial study. This study was conducted at Services Hospital Lahore and the duration of this study was from October, 2019 to April, 2020. 116 patients having symptoms of second-degree haemorrhoids were classified into 2 groups randomly as RBL & IST with 58 subjects in each group respectively. A baseline symptoms severity score was recorded for every patient. Both the groups were treated accordingly i.e., Rubber band ligation group treated with Rubber Band Ligation and Injection Sclerotherapy with the same Injection Sclerotherapy. Results were all about relief of symptoms and improvement in SS score. Results: The baseline SS score in Rubber band ligation was 4.67 ± 2.01 and minimized to final average SS score of (1.34 ± 0.96). The baseline SS score in Injection Sclerotherapy group was found (4.31 ± 2.13) & it was minimized to final average SS score of (1.6 ± 0.97). The patients who have complete recovery & controlled bleeding in Rubber band ligation group was 44 at 75.95 % and this number was 32 at 55.1 % in IST group after 2 weeks. Conclusion: Rubber band ligation has better results in patients as compared to injection sclerotherapy for treating second degree haemorrhoids. Keywords: Rubber Band Ligation, Internal Haemorrhoids, Sclerotherapy.