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New Indian Journal of Surgery

Volume  12, Issue 3, July-September 2021, Pages 181-183
 

Original Article

Injection Sclerotherapy with 3% Polidocanol in 1st and 2nd degree Internal Haemorrhoids – A Prospective Study

Suresh U Kadli1, Sharath BV2, Soumya NS3, Manjunath Rao SV4, Rahul Jain5

1Associate Professor, Department of General Surgery, 2Professor & Head, 5Post graduate, Department of General Surgery, 3Assistant Professor, Department of General Medicine, 4Professor & Head, Department of ENT, Basaveshwara Medical College & Hospital, Chitradurga 577501, Karnataka, India.

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DOI: https://dx.doi.org/10.21088/nijs.0976.4747.12321.10

Abstract

nternal Haemorrhoids has been the most common disease since ages and wide variety of treatment modalities available make it an equally enigmatic disease to approach. Polidocanol is the recent sclerosants in the surgeon’s armamentarium for its treatment. This prospective study included 86 patients with first or second degree internal haemorrhoids. Internal haemorrhoids had sexual predilection towards males in our study in the ratio of 2:1 with a age range of 24-68 yrs. Sixty-one of 86 patients had first degree haemorrhoids and the rest 25 had second degree. Bleeding P/R was the most common complaint followed by constipation and perianal discomfort. Response to first dose of 3% polidocanol was seen in 59.3% of patients, 29.07% patient responded to second dose and 11.63% patients responded to the third dose of sclerotherapy. Sclerotherapy is an effective option in the treatment of first and second degree haemorrhoids and 3% polidocanol has been an effective agent in this strategy.

Keywords: Internal haemorroids; Injection sclerotherapy; 3% polidocanol.


Corresponding Author : Soumya NS