29890
document
Injection sclerotherapy versus electrocoagulation in the management outcome of early haemorrhoids . OBJECTIVE To study the symptomatology of early hemorrhoids and to compare injection sclerotherapy ( IS ) with electrocoagulation ( EC ) in the management outcome of early haemorrhoids with respect to pain during the procedure , reduction in bleeding per rectum , and overall patient satisfaction score . METHODS A total of 102 patients were included in this experimental study at the POF Hospital , Wah Cantt from October 2004 to June 2005 . A detailed history was taken and proctoscopic examination was performed . Patients were then randomly divided into two groups ( Lottery method ) . One group was subjected to EC and the other to IS . In the EC , using the EC machine ( Wieda , China ) , direct current of 10-20 mA was applied in the submucosal plane of each pile core for 5-7 minutes . In the IS 1-2 ml of 5 % phenol in almond oil was injected in the same plane in each pile core . Pain during the procedure , reduction in bleeding per rectum and overall patient satisfaction , were studied as outcome measures . RESULTS The mean age of the patients was 44 years , 86 were males and 16 were females . Two thirds of the patients were having symptoms for more than 6 months . A third of patients had associated local pain while another third had associated mucous discharge . Chronic constipation was present in 81 % patients . Only 24.5 % of the patients had a positive family history of haemorrhoids . Patients in the electrocoagulation ( EC ) group experienced more pain during the procedure than the injection sclerotherapy ( IS ) group ( P < 0.000 ) , but EC was significantly more effective than IS in terms of reducing the bleeding per rectum ( P = 0.039 ) , and also significantly higher number of patients were fully satisfied with EC than with IS ( P < 0.04 ) . CONCLUSION EC , although more painful , is a safe , more effective and a highly satisfying procedure for treating early hemorrhoids .
29891
Intervention_Pharmacological
Injection sclerotherapy
29892
Intervention_Physical
versus electrocoagulation
29893
Intervention_Pharmacological
injection sclerotherapy ( IS )
29894
Intervention_Physical
electrocoagulation ( EC )
29895
Intervention_Pharmacological
phenol in almond oil
29896
Outcome_Pain
pain during the procedure
29897
Outcome_Physical
reduction in bleeding per rectum
29898
Outcome_Other
overall patient satisfaction score
29899
Outcome_Pain
Pain during the procedure
29900
Outcome_Physical
reduction in bleeding per rectum
29901
Outcome_Other
overall patient satisfaction
29902
Outcome_Pain
local pain
29903
Outcome_Physical
mucous discharge
29904
Outcome_Adverse-effects
Chronic constipation
29905
Outcome_Pain
pain during the procedure
29906
Outcome_Physical
bleeding per rectum
29907
Outcome_Other
fully satisfied
29908
Outcome_Pain
painful
29909
Outcome_Other
safe
29910
Outcome_Other
effective
29911
Outcome_Other
highly satisfying
29912
Participant_Condition
early haemorrhoids
29913
Participant_Sample-size
102 patients
29914
Participant_Age
The mean age of the patients was 44 years
29915
Participant_Sex
males
29916
Participant_Condition
positive family history of haemorrhoids