Injection Therapy(sclerotherapy)

Injection Therapy

Injection Therapy also called as Sclerosant injection has been the method of treatment of small vascular haemorrhoi'ds and indeed 13 used to control all cases of first degrree internal haemorrhoids whatever may be the presenting symptoms. The most commonly used sclerosant is 5% phenol in almond or arachis oil with 140 mg of menthol to make 30 ml solution (Albright solution).

This solution is injected into the submucosa around the pedicle of the haemorrhoid with two objects in view Firstly to produce a chemical thrombosis in the internal haemorrhoidal plexus and secondly to produce a fibrous reaction in the submucous layer which Will fix the loose redundant mucosal membrane to the inner muscle layer and draw up the pile so that it no longer prolapses or is grasped by the sphincters. Good sclerosis can often be obtained by a single injection of 5 ml into each primary haemorrhoid. If the injection is given slowly around the base of the pile above the anorectal ring very little discomfort is experienced.

If subsequent injections are required the selerosed mucosa will not usually take such a volume and 2 or 3 ml are then injected 1cm below the initial injection site. The patient is examined 4 to 6 weeks after the initial injection and in case of first degree haemorrhoids further treatment may not be necessary. In case of large second degree haemorrhoids 2 or 3 injections may be required at intervals of 6 weeks in order to obtain maximum fibrosis.

Advantages

  • This method is quick
  • Relatively painless
  • comparatively free from comph'cations and
  • In first degree haemorrhoid results in a high percentage of cure. If injection therapy is done for treatment of first and small second degree haemorrhoids, the cure rate is in the order of 95% and recurrence may take place 111 about 15% of cases within 3 years.

Disadvantages

  • It is contraindicated in prolapsed piles, in arterial piles and in presence of infection
  • Faulty technique may lead to sloughing, which is dangerous.

Team Of Specialists

  • Dr. Atul Patil

    Consultant Proctologist & Consultant and associate professor At Dr. D Y Patil Ayurveda College,Pune.

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  • Dr. Sarita Patil

    Proctologist and Gynaecologist , Director- Vithai Piles hospital, Kasarwadi, Pune.

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  • Dr. Vikram Pawar

    Sr. Consultant & Chief of radiation oncology Services

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  • Anjali Vikram Pawar

    Director
    Vitthal Piles Center

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