MANAGEMENT OF GRADE I AND II HEMORRHOID BY SCLEROSANT INJECTION – A STUDY OF 100 CASES

Dr Priya D Dhandore, Dr. N. N. Hombalkar

Abstract


For as long as man has been blessed with an anus, it is fair to assume that he has also been doubly blessed with haemorrhoids1 Haemorrhoids are   one of   the most common ailments to afflict mankind. Haemorrhoids have been defined differently over the years from oversimplified definition of varicosities of haemorrhoidal plexus to the more recently as specialized highly vascular cushions of discrete masses of thick submucosa containing blood vessels, smooth muscles, elastic and connective tissue which may slide down due to breakage of collagen and anchoring supporting connective tissue. The aetiology is still hypothesized as erect posture, constipation, straining during defecation, sedentary work, diet low in fibres, heredity and high resting anal pressure

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References


Surgical Treatment of haemorrhoids Charles Mann Ed Surgical Treatment of Haemorrhoids S. Ellesmore and A.C.J. Windsor

John Goligher Vol 1 Surgery of the Anus Rectum and Colon pp 108

Khoury G., Winslet M. C., Lewis A. A. M. Santos G., Novell J. R., Long-term results of large-dose, single-session phenol injection sclerotherapy for hemorrhoids. Diseases of the Colon & Rectum. 1993;36(10):958–961. doi: 10.1007/bf02050633.)

Takano M., Iwadare J., Ohba H., et al. Sclerosing therapy of internal hemorrhoids with a novel sclerosing agent: comparison with ligation and excision. International Journal of Colorectal Disease. 2006;21(1):44–51. doi: 10.1007/s00384-005-0771-0.

Santos G., Novell J. R., Khoury G., Winslet M. C., Lewis A. A. M. Long-term results of large-dose, single-session phenol injection sclerotherapy for hemorrhoids. Diseases of the Colon & Rectum. 1993;36(10):958–961. doi: 10.1007/bf02050633

Gartell P. C., Sheridan R. J., McGinn F. P. Out-patient treatment of haemorrhoids: a randomized clinical trial to compare rubber band ligation with phenol injection. British Journal of Surgery. 1985;72(6):478–479. doi: 10.1002/bjs.1800720624.

I. Kanellos, I. Goulimaris, E. Christoforidis, T. Kelpis, and D. Betsis, “A comparison of the simultaneous application of sclerotherapy and rubber band ligation, with sclerotherapy and rubber band ligation applied separately, for the treatment of haemorrhoids: a prospective randomized trial,” Colorectal Disease, vol. 5, no. 2, pp. 133–138, 2003.

Williams A , and M. R. Keighley, “A randomized trial to compare rubber band ligation with phenol injection for treatment of haemorrhoids,” British Journal of Surgery, vol. 68, no. 4, pp. 250–252, 1981.

TURELL R. Injectional Treatment of Internal Hemorrhoids Am J Med Sci. 1947 Mar;213(3):350-3. PMID:20288163

Tokunaga Y., Sasaki H., Saito T. Evaluation of sclerotherapy with a new sclerosing agent and stapled hemorrhoidopexy for prolapsing internal hemorrhoids: retrospective comparison with hemorrhoidectomy. Digestive Surgery. 2010;27(6):469–472. doi: 10.1159/000320321

Cheng FC, Shum DW, Ong GB. The treatment of second degree haemorrhoids by injection, rubber band ligation, maximal anal dilatation and haemorrhoidectomy: a prospective clinical trial. Aust NZ J Surg. 1981;51(5):458-62.

Greca F., Hares M. M., Nevah E., Alexander-Williams J., Keighley M. R. A randomized trial to compare rubber band ligation with phenol injection for treatment of haemorrhoids. British Journal of Surgery. 1981;68(4):250–252. doi: 10.1002/bjs.18 00680410.

Sim AJ, Murie JA, Mackenzie I. Comparison of rubber band ligation and sclerosant injection for first and second-degree haemorrhoids-a prospective clinical trial. Acta Chir Scand 1981;147:717-20

Ambrose NS, Morris D, Alexander- Williams J, Keighley MR. A randomized Trial of Photocoagulation or injection therapy for the treatment of first and second degree hemorrhoids. Dis.Colon Rectum1985 Apr;28(4):238-40

Walker, R. J. Leicester, R. J. Nicholls, and C. V. Mann, “A prospective study of infrared coagulation, injection and rubber band ligation in the treatment of haemorrhoids,” International Journal of Colorectal Disease, vol. 5, no. 2, pp. 113–116, 1990.


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