Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
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Foam Sclerotherapy VS Conventional Sclerotherapy in the Treatment of Multiple Haemorrhoids with 3% Polidocanol: A Comparative Study
Jaiwant Mahurkar, B.V. Sharath, S.V. Manjunatha Rao and T.U. Subashini
Page: 137-145 | Received 20 Aug 2024, Published online: 18 Nov 2024
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Abstract
The haemorrhoidal disease is of enormous epidemiological and economic relevance, as it represents a common disease worldwide with a peak of prevalence at the age of 45‐65 years in both genders. Hemorrhoidal disease is one of the most common benign disorders of the lower gastrointestinal tract. Hemorrhoids per se are vascular cushions forming a gas‐tight seal at the anorectal junction and contribute to the physiological continence mechanism. Enlargement of these hemorrhoidal cushions and subsequent sliding into the anal canal or through the anus cause clinical symptoms such as bleeding, mucosal discharge, or pruritus and are the most common complaints defining hemorrhoidal disease. This clinical study is aimed to compare the efficacy and safety of foam sclerotherapy and conventional sclerotherapy in the treatment of multiple haemorrhoids with 3% polidocanol. A single center, comparative study using randomized controlled trial of patients both male and female with symptomatic grade I, II and few III haemorrhoids, divided randomly in to two groups where group A patients were given conventional (liquid) sclerotherapy with 3 % polidocanol and group B patients were given foam sclerotherapy with 3 % polidocanol. This study was conducted at Basaveshwara medical college and hospital, Chitradurga, Karnataka from October 2022 to march 2023. In Group A : Bleeding stopped in 60% of patients with conventional sclerotherapy after 1st session, whereas bleeding was stopped in 92 % of patients in Group B who received foam sclerotherapy. Pain was relieved in 64 % of patients in group A and 80% in group B during 1st sclerotherapy session and in between 1st and 2nd visits, 96% of patients in both groups were relieved of pain 40% of patients in group A were relieved of pruritus during 1st session, whereas 56% were relieved of pruritus in group B .Overall 64% of patients were satisfied in group A and 96% of patients were satisfied in group B. Foam sclerotherapy is a more safer, efficacious, cost‐effective, reliable, therapeutic procedure in the treatment of hemorrhoidal disease, when compared with conventional sclerotherapy. Foam sclerotherapy may not help in regression of grade‐III haemorrhoids, but can help regress symptoms of grade‐I and II haemorrhoids With foam sclerotherapy, injections can be given in $3 locations , whereas with conventional sclerotherapy, injections were restricted to #3 places.
How to cite this article:
Jaiwant Mahurkar, B.V. Sharath, S.V. Manjunatha Rao and T.U. Subashini. Foam Sclerotherapy VS Conventional Sclerotherapy in the Treatment of Multiple Haemorrhoids with 3% Polidocanol: A Comparative Study.
DOI: https://doi.org/10.36478/10.36478/makrjms.2024.12.137.145
URL: https://www.makhillpublications.co/view-article/1815-9346/10.36478/makrjms.2024.12.137.145