FIRST DEGREE HEMORRHOIDS;

EFFICACY OF INJECTION SCLEROTHERAPY EXPERIENCE IN SURGICAL DEPARTMENT

Abstract

Traditionally the treatment of Ist, 2nd and 3rd degree haemorrhoids is conservative management with fibre rich diet and
better defecation discipline. If symptoms prevail then there are a wide range of treatment modalities. OBJECTIVE: to evaluate the efficacy
of injection Sclerotherapy for First degree haemorrhoids using 5% Phenol in Almond oil. MATERIAL AND METHODS: This case series
study was conducted on 83 patients with first degree piles in Surgical-C unit, Department of Surgery, Khyber Teaching Hospital Peshawar
from 01/09/2010 till 01/03/2011. After Informed consent, injection Sclerotherapy with 1-2ml of 5% Phenol in Almond oil was injected in
the sub mucosal plane of each pile case above the dentate line. Patients were reviewed at 3 weeks interval for bleeding per rectum for
effectiveness of the procedure. RESULTS: A total of 83 patients with first degree haemorrhoids included in the study out of which 62
(74.7%) were male and 21 (25.03%) were female with M: F=2.99:1. Average age 41.1 years+0.1 SD with range 20-60 years. Efficacy
was observed in 68 (81.83%) patients where 15 (18.07%) patients showed no results. CONCLUSION: Injection sclerotherapy is simple,
convenient and effective outdoor procedure for first degree haemorrhoids.