scholarly journals Injection Sclerotherapy with 5% Phenol in Almond Oil in the Treatment of Rectal Prolapse in Children: Our Experience

2017 ◽  
Vol 16 (1) ◽  
pp. 19-21
Author(s):  
Md Mozammel Hoque ◽  
Alauddin Ahmed ◽  
Alak Nandy
Keyword(s):  
Rectal Prolapse ◽  
Injection Site ◽  
Effective Treatment ◽  
Predisposing Factors ◽  
Injection Sclerotherapy ◽  
Common Condition ◽  
Initial Management ◽  
Almond Oil ◽  
Sclerosing Agents ◽  
Number Of Injections

Background: Rectal prolapse is a relatively common condition in children. A wide variety of sclerosing agents have been used in the treatment of rectal prolapse in children. We have used 5 % phenol in almond oil in the treatment of rectal prolapse in our children. The aim of this study was to find out the outcome of injection sclerotherapy with 5% phenol in almond oil in the treatment of rectal prolapse in children.Methods: From May 2009 to December 2016 a total of 186 patients with rectal prolapse were treated by injection sclerotherapy with 5% phenol in almond oil. Of which males were 112 and females 74. Age ranged from 1.5 years to 7 years. Initial management included assessment and correction of predisposing factors. If the rectal prolapse persisted or if the prolapse required repeated reduction, injection sclerotherapy was performed. Number of injections, recurrences, and complications were reviewed.Results: Out of 186 patients recurrence occurred in 12 patients, cured after second injection in 10 patients and 2 children needs Thiersch’s stitch. Excessive oozing at the injection site was in 5 patients.Conclusion: Injection sclerotherapy with 5% phenol in almond oil is simple, safe and effective treatment of recurrent rectal prolapse after failure to conservative measures.Chatt Maa Shi Hosp Med Coll J; Vol.16 (1); Jan 2017; Page 19-21

scholarly journals The Management of Persistent or Recurrent Variceal Bleeding After Injection Sclerotherapy by Somatostatin

HPB Surgery ◽  
1992 ◽  
Vol 5 (4) ◽  
pp. 221-227 ◽  
Author(s):  
S. A. Jenkins ◽  
R. Shields ◽  
N. Jaser ◽  
S. Ellenbogen ◽  
E. Naylor ◽  
...  
Keyword(s):  
Liver Function ◽  
Effective Treatment ◽  
Variceal Bleeding ◽  
Intravenous Infusion ◽  
Injection Sclerotherapy ◽  
Post Injection ◽  
Balloon Tamponade ◽  
Number Of Patients

Sixteen patients with persistent (n = 11) or recurrent (n = 5) variceal bleeding after injection sclerotherapy and balloon tamponade were treated with an intravenous infusion of somatostatin 250μg/ h. Somatostatin infusion successfully controlled the bleeding in 15 of the 16 patients but one rebled after 72 h of treatment. In one patient with poor liver function (Child’s C) bleeding was not controlled by somatostatin, further injection sclerotherapy or balloon tamponade of the oesophagus. The results of this study, although uncontrolled and with a small number of patients, suggest that somatostatin is a very effective treatment for the control of post-injection sclerotherapy variceal bleeding.

scholarly journals Sclerotherapy of Intraoral Superficial Hemangioma

2016 ◽  
Vol 2016 ◽  
pp. 1-5 ◽  
Author(s):  
Resmije Ademi Abdyli ◽  
Yll Abdyli ◽  
Feriall Perjuci ◽  
Ali Gashi ◽  
Zana Agani ◽  
...  
Keyword(s):  
Blood Vessels ◽  
Oral Mucosa ◽  
The Body ◽  
Treatment Modalities ◽  
Intralesional Injection ◽  
Endothelial Lining ◽  
Time Intervals ◽  
Vascular Neoplasm ◽  
Sclerosing Agents ◽  
Number Of Injections

Hemangioma is the clinical term for a benign vascular neoplasm due to proliferation of the endothelial lining of blood vessels. Their most frequent location is the body skin and oral mucosa. One of the treatment modalities for hemangiomas is intralesional injection of sclerosing agents which cause the damage of blood vessels followed by their obliteration. The objective of the study was to describe the facility of application and evaluate the efficiency of sclerotherapy with aethoxysklerol 1%.Method. The case presented with intraoral submucosal hemangioma of the cheek was treated by intralesional injection of aethoxysklerol 3% diluted in water for injections at a 4 : 1 ratio (0.75%) at the first appointment and 3 : 1 (1%) at the second appointment. The effect of sclerotherapy was evaluated on the following visits in time intervals of two weeks.Results. The hemangioma disappeared without complications after the second injection of aethoxysklerol 1%. The successful results of the study were comparable to the data of literature with variations according to the used sclerosant agent, its concentration, the number of injections, and the intervals between each session.Conclusion. Since sclerotherapy is a very effective, inexpensive, and easy-to-apply treatment, it should be the treatment of choice, especially for intraoral superficial hemangiomas.

scholarly journals Delorme's Procedure: An Effective Treatment for a Full-Thickness Rectal Prolapse in Young Patients

2013 ◽  
Vol 29 (2) ◽  
pp. 60 ◽  
Author(s):  
Mohammad Sadegh Fazeli ◽  
Ali Reza Kazemeini ◽  
Amir Keshvari ◽  
Mohammad Reza Keramati
Keyword(s):  
Rectal Prolapse ◽  
Effective Treatment ◽  
Young Patients ◽  
Full Thickness ◽  
Delorme’S Procedure ◽  
Delorme's Procedure

Ripstein procedure is an effective treatment for rectal prolapse without constipation

1993 ◽  
Vol 36 (5) ◽  
pp. 501-507 ◽  
Author(s):  
Joe J. Tjandra ◽  
Victor W. Fazio ◽  
James M. Church ◽  
Jeffrey W. Milsom ◽  
John R. Oakley ◽  
...  
Keyword(s):  
Rectal Prolapse ◽  
Effective Treatment ◽  
Ripstein Procedure

Injection sclerotherapy in the treatment of rectal prolapse in infants and children

1998 ◽  
Vol 33 (2) ◽  
pp. 255-258 ◽  
Author(s):  
Winston K-Y Chan ◽  
Saundra M Kay ◽  
Jean-Martin Laberge ◽  
John G Gallucci ◽  
Arie L Bensoussan ◽  
...  
Keyword(s):  
Rectal Prolapse ◽  
Infants And Children ◽  
Injection Sclerotherapy ◽  
In Infants And Children

Role of injection pressure, flow and sclerosant viscosity in causing cutaneous ulceration during sclerotherapy

2012 ◽  
Vol 27 (8) ◽  
pp. 383-389 ◽  
Author(s):  
R K Miyake1 ◽  
J T King ◽  
R Kikuchi ◽  
F H Duarte ◽  
J R P Davidson ◽  
...  
Keyword(s):  
Constant Pressure ◽  
Infusion Pump ◽  
Injection Pressure ◽  
Injection Sclerotherapy ◽  
Objective Data ◽  
Constant Flow ◽  
Ethanolamine Oleate ◽  
Sclerosing Agents ◽  
Syringe Needle

The objective of the study is to evaluate the viscosity of popular sclerosants and their flow hydrodynamics through a syringe/needle to further discuss Miyake's old, venous-capillary reflux theory, using additional objective data. The following sclerosing agents were tested in the study: 75% dextrose (D75%); 50% dextrose (D50%); 5% ethanolamine oleate (Etha5%); 0.5% laureth-9 (Aet0.5%) and 0.1% sodium tetradecyl sulphate (STS0.1%). Using 5 mL syringes and 27G needles, the resulting pressures and flows for each sclerosant agent were measured. To do this, a three-way stopcock was connected between the syringe and the needle so that an arm of the stopcock could be used to measure injection pressures with a digital monitor in 1 mmHg increments. Two trials were performed: in trial 1, the syringe was attached to a Samtronic 680 infusion pump and in trial 2, the solutions were injected manually. The observed sclerosant viscosities were as follows: D75%: 0.28 Poise; D50%: 0.12 Poise; Etha5%: 0.10 Poise; Aet0.5%: 0.07 Poise; and STS0.1%: 0.04 Poise. In trial 1 (constant flow), it was observed that D75%, which had the highest viscosity of the sclerosants tested, had the highest pressure readings. In trial 2 (constant pressure), the flow obtained with the D75% solution was lower than the flow of the other solutions. In conclusion, based on the rabbit study theory, vessel size and sclerosant viscosity and strength, not extravasation, play a role in causing ulceration from injection sclerotherapy. As a result, they all affect the potential of venous–capillary reflux being caused by sclerotherapy injection and, thus, the risk of postsclerotherapeutic cutaneous ulceration.

scholarly journals Management of Rectal Prolapse in Children as a Day Care Procedure

1970 ◽  
Vol 17 (2) ◽  
pp. 116-120 ◽  
Author(s):  
SM Rahman ◽  
ASM Hasanuzzaman ◽  
SMS Huda
Keyword(s):  
Rectal Prolapse ◽  
Day Care ◽  
Anal Verge ◽  
Rectal Mucosa ◽  
Personal Hygiene ◽  
Injection Sclerotherapy ◽  
Abdominal Pressure ◽  
Open Operation ◽  
A Prospective Study ◽  
Care Procedure

Rectal prolapse is a relatively common self limiting problem in young children. The peak age of prolapse is 2-3 years, a time during which the rectal mucosa is relatively loosely adherent to the underlying muscles, pelvic floor musculature is not fully developed and sacrum is relatively flat which directs increases in intra abdominal pressure towards anus instead of the protected hollow of the pelvi’s1,2. Rectal prolapse is a very common childhood problem in our country due to frequency of diarrhoeal and parasitic diseases accentuated by lack of personal hygiene and mal-nutrition, Majority of the patients are poor; majority of childhood prolapse are mucosal limited to 2-3 cm from anal verge 3. Diagnosis of rectal prolapse is straight forward by inspection and palpation. Colonoscopy and Barium enema are indicated only to exclude any other secondary causes in suspected cases. We have managed 30 (thirty) cases of recurrent rectal prolapse after failure of medical treatment in a prospective study by injection sclerotherapy as a Day care procedure; 5% phenol in olive oil was used as sclerosing agent and the procedure was performed under general anaesthesia and caudal block. The patients were kept under observation for 4-6 hours. 28 (twenty eight) patients responded satisfactorily (93.3%); 2 patients (6.67%) needed open operation -rectopexy. Only one patient was admitted for 48 hours due to reactionary haemorrhage which was managed conservatively. Few patients had minor complications like constipation, diarrhoea and acute retention; all managed conservatively. There was no mortality. Injection sclerotherapy appeared to be a safe, effective and cheap procedure for management of rectal prolapse in children. DOI: 10.3329/jdmc.v17i2.6594J Dhaka Med Coll. 2008; 17(2) : 116-120

scholarly journals The acute management of haemorrhoids

2014 ◽  
Vol 96 (7) ◽  
pp. 508-511 ◽  
Author(s):  
A Hardy ◽  
CRG Cohen
Keyword(s):  
Effective Treatment ◽  
Operative Intervention ◽  
Acute Management ◽  
Common Condition ◽  
Acute Thrombosis ◽  
Suggested Algorithm ◽  
Acute Complications ◽  
Pubmed Search

Introduction Although the acute thrombosis and strangulation of haemorrhoids is a common condition, there is no consensus as to its most effective treatment. Methods A PubMed search was undertaken for papers describing the aetiology and treatment of the acute complications of haemorrhoids. Results The anatomy and treatments for strangulated internal haemorrhoids and thrombosed perianal varices are discussed. Studies of the effectiveness and complications of conservative and operative treatments are reviewed. Conclusions Ambiguities exist in the terminology used to describe the two separate pathologies that make up the acute complications of haemorrhoids. These complications have traditionally been treated conservatively. There is evidence that early operative intervention for strangulated internal haemorrhoids is safe and effective. A suggested algorithm for treatment is given, based on the published literature.

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