Long-term results of large-dose, single-session phenol injection sclerotherapy for hemorrhoids

1993 ◽  
Vol 36 (10) ◽  
pp. 958-961 ◽  
Author(s):  
G. Santos ◽  
J. R. Novell ◽  
G. Khoury ◽  
M. C. Winslet ◽  
A. A. M. Lewis

2019 ◽  
Vol 104 (9) ◽  
pp. 3751-3756 ◽  
Author(s):  
Maurilio Deandrea ◽  
Pierpaolo Trimboli ◽  
Francesca Garino ◽  
Alberto Mormile ◽  
Gabriella Magliona ◽  
...  

Abstract Context Radiofrequency ablation (RFA) of benign thyroid nodules has been gaining consensus. However, no solid information on its long-term efficacy is available. Objective To analyze the long-term results of single-session RFA. Design Retrospective longitudinal observational study. Setting Primary care center. Patients or Other Participants Adult outpatients who underwent a single-session RFA and posttreatment follow-up of least 3 years. Intervention Ultrasound-guided RFA was performed after local anesthesia by “moving-shot” technique. RFA was performed with a median power of 55W and a median time of 14 minutes with an internally cooled 18-gauge electrode with an active 10-mm tip. Main Outcome Measures Objective (trend of nodule volume) and subjective (compressive and cosmetic concerns) response to RFA were evaluated. Continuous variables were analyzed by the Wilcoxon and ANOVA test and their correlations by using the Spearman test. Categorical variables were compared by Pearson χ2 test. Results Two hundred and fifteen patients were included. An early significant reduction of nodule volume was found at 1 year, lasting up to 5 years. A 67% nodule shrinkage was observed at the end of the observation period. The best response was recorded in nodules below 10 mL (79% reduction early and 81% at 5 years). Patients’ symptoms were significantly reduced. Conclusions This study, by demonstrating a durable shrinkage of benign thyroid nodules treated by RFA with an improvement of subjective symptoms, establishes the reliability of RFA as alternative to surgery in the management of thyroid nodules, thus representing a remarkable novelty for clinical practice.



2008 ◽  
Vol 67 (5) ◽  
pp. AB190
Author(s):  
Mika Yuki ◽  
Hideaki Kazumori ◽  
Satoko Takuwa ◽  
Keiko Tateishi ◽  
Kimiko Nagasako ◽  
...  




Phlebologie ◽  
2008 ◽  
Vol 37 (05) ◽  
pp. 237-240 ◽  
Author(s):  
T. Schulz ◽  
M. Jünger ◽  
M. Hahn

SummaryThe aim of the study was to evaluate the long-term results 4 years after a single-session, sonographically guided, transcatheter foam sclerotherapy. Patients, methods: We treated 20 patients with a total of 22 legs with varicoses of the greater saphenous vein (GSV, EpAsPr). Additional varicoses of the auxiliary veins of the GSV were sclerosed immediately afterwards. 20 legs or 91% in Hach stage III-IV, clinical stage C2-C5 and a mean GSV diameter of 9 mm (range: 7 to 13 mm) could be followed up 4 years later. Results: During the follow up period one leg showed clinical signs of recurrence and underwent surgery, two legs received a single additional sclerotherapy during the four years period. Examination four years after showed in 6 legs clinical signs of recurrence without notice of clinical symptoms by the patients. This gives a clinical recurrence rate of 40% (8 of 20 patients). Duplex sonography showed flow in the region of the saphenofemoral junction in a total of 13 legs (65% of the reexamined GSVs) with an average vessel diameter of 3.7 ± 1.6mm (range 2 to 7 mm). Retreatments in 3 GSV of the 6 clinically relapsed GSV by a single injection of sclerosing foam showed an occlusion in 100% two weeks after. Conclusion: Transcatheter foam sclerotherapy of the GSV shows better clinical long-term results compared to known data of liquid sclerotherapy. Sonographically detected recurrency of the GSV could easily be retreated by a single session of foam sclerotherapy. Foam sclerotherapy is a promising and seriously to be taken option in the treatment of the insufficient GSV.



Cancer ◽  
1998 ◽  
Vol 83 (1) ◽  
pp. 48-57 ◽  
Author(s):  
Tito Livraghi ◽  
Viviano Benedini ◽  
Sergio Lazzaroni ◽  
Franca Meloni ◽  
Guido Torzilli ◽  
...  


1999 ◽  
Vol 21 (2) ◽  
pp. 119-131
Author(s):  
Ikuo MURATA ◽  
Ichiro YOSHIKAWA ◽  
Keiichiro KUME ◽  
Makoto OTSUKI


Surgery ◽  
2002 ◽  
Vol 131 (1) ◽  
pp. S176-S181 ◽  
Author(s):  
Tomohiko Akahoshi ◽  
Makoto Hashizume ◽  
Rinshyun Shimabukuro ◽  
Kazuo Tanoue ◽  
Morimasa Tomikawa ◽  
...  


2015 ◽  
Vol 39 (6) ◽  
pp. 902-908 ◽  
Author(s):  
Okan Akhan ◽  
Filiz Islim ◽  
Sinan Balci ◽  
Aysun Erbahceci ◽  
Burcu Akpınar ◽  
...  


1991 ◽  
Vol 6 (1) ◽  
pp. 7-11 ◽  
Author(s):  
Gabriel Goren

Others preceded Tournay in practicing ‘modern’ methods of injection sclerotherapy. Extensive evidence indicates that injection sclerotherapy gives poor long-term results in the treatment of varicose veins related to saphenous incompetence and that high saphenous ligation is necessary to prevent reflux and recurrent varices.



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