Assessments of the symptoms at follow up and Cost effectiveness of Hemorrhoids patients treated by Barron Band Ligation

Bharat Chandra; Seema Kumari.  Rajesh Kumar suman

Volume : IV, Issue : X, October - 2014

Assessments of the symptoms at follow up and Cost effectiveness of Hemorrhoids patients treated by Barron Band Ligation

Bharat Chandra, Seema Kumari. Rajesh Kumar Suman

Abstract :

OBJECTIVE: The objective of the study is to evaluate the cost of treatment effectiveness of rubber band ligation treatment hemorrhoids at regular follow up. METHODS: This is a prospective study of 120 cases who underwent rubber band ligation as an outpatient procedure for internal haemorrhoids. RESULTS: One hundred twenty patients underwent rubber band ligation as a outpatient procedure for internal haemorrhoids. The amount of money spent post procedure for pain relief and to manage complications with hospital visits was arbitrarily divided into groups who spent Rs. 100&ndash;150, Rs. 150&ndash;200 and Rs. 200&ndash;250. Maximum number of cases about 60% spent Rs. 100&ndash;150 following rubber band ligation. The effect of rubber band ligation on symptom improvement was assessed using parameters as bleeding, pain, prolapse, pruritis, mucous discharge, anal stenosis and anal incontinence. At second week post rubber band ligation, bleeding seen in 90% cases at presentation decreased to 30%, which further decreased to 15% at 1 month. Pain seen in 30% of cases at presentation decreased to 15% at second week and 10% at 1 month. 80% cases assessed treatment as excellent and 20% with some residual symptoms assessed the treatment as of moderate help. Maximum number of case 70% returned to work the next day, only 10% cases took off work for more than 4 days, whereas 20% were off work for1 to 3 days. CONCLUSION: Rubber band ligation was found effective based on significant symptom improvement with 80% symptom free at follow up, assessing the treatment as excellent with 70% requiring pain relief post procedure and 60% showing slight discomfort post procedure lasting 1&ndash;2 days. Rubber band ligation was found cost effective with 60% cases spending 100&ndash;150 rupees.70% of patients took no time off work after rubber band ligation.