Hemorrhoids Update Review » sclerotherapy http://www.hemorrhoidsreview.com Get facts on Information of hemorrhoids symptoms,sign,diagnosis, treatment, surgery and complication and find out how you can prevent them.This website explains all you need to know about hemorrhoids. Sun, 06 Jun 2010 02:50:24 +0000 en hourly 1 http://wordpress.org/?v=3.0.1 Sclerotherapy in Hemorrhoids Treatment http://www.hemorrhoidsreview.com/sclerotherapy-in-hemorrhoids-treatment/ http://www.hemorrhoidsreview.com/sclerotherapy-in-hemorrhoids-treatment/#comments Mon, 07 Dec 2009 03:45:53 +0000 admin http://www.hemorrhoidsreview.com/?p=20 Although sclerotherapy, first advocated by Mitchell in 1871, has been used often in hemorrhoids, it is rarely performed in the United States.The purpose of sclerotherapy is to scar the submucosa, resulting in atrophy of the tissue injected and scarification with fixation of the hemorrhoidal complex within its normal location in the anal canal. A variety of solutions have been advocated, although it appears that sodium morrhuate and sodium tetradechol sulfate predominate. This modality is most effective in situations with minimal enlargement of hemorrhoidal complexes where the primary complaint is bright red rectal bleeding.

The procedure is performed with the patient in the left lateral decubitus position. An anoscope is inserted to clearly identify the symptomatic complex, and a 25-gauge spinal needle is used to instill the sclerosant into the submucosal space . The syrine should be aspirated before injection to avoid a direct intravascular injection. Typically, 1 to 2 ml of sclerosant is adequate. The surgeon can inject as many locations as desired because the procedure is essentially painless. It is important, however, not to circumferentially inject the anal canal, because this may induce stricture formation.

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