A comparative study to evaluate the effect of sclerotherapy in grade I and grade II internal haemorroids with Sodium tetradecyl sulphate (STD) and 50% Dextrose water
European Journal of Molecular & Clinical Medicine,
2022, Volume 9, Issue 7, Pages 4756-4763
AbstractHemorrhoidectomy is the procedure of choice for treating hemorrhoids most effectively. Now a day’s the emphasis is on conservative therapies and newer outpatient methods for treating hemorrhoids.
Material and Methods: In 2 non-consecutive series of 50 patients, sodium tetradecyl sulphate and 50% dextrose water were injected. Dextrose is used as a 50% concentration (not diluted), while sodium tetradecyl sulphate is diluted 1:2 with distil water before administration.
Results: Total 127 patient were recruited , Sodium Tetradecyl Sulphate(std) group 63 patients were selected and in dextrose 50% group 63 patients were selected. Mean age of std group was 38.75 years and d50% group was 39.5 years. Peak incidence of disease is between age group 20 to 50 years. Mean number of sessions required of STD – 1.61(±0.60), Mean number of sessions required of D50% - 2.40(±0.49) t =6.52 ; p <0.0001 The mean sessions of sclerotherapy required for D50% group was significantly higher.
Conclusion: STD performs better than D50%. Within 12 weeks, no sclerotherapy patients relapsed. Sclerotherapy has been well. Neither patient objected to therapy. No patient objected to a second or third injection. Sodium tetra decyl sulphate was more expensive than 50% dextrose sclerotherapy. Dextrose 50% requires multiple sessions. Our low-income patients mostly accepted government-funded care. Dextrose 50% may be preferable for sclerotherapy.
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