Hemorrhoid sclerotherapy is a relatively new treatment format. Despite this, he already enjoys consistently high demand. The popularity is added to him by the fact that the intervention is referred to as minimally invasive procedures.
The effectiveness of the manipulation is confirmed by the feedback of the victims, who successfully got rid of the dangerous pathology just in this way. They also note that recovery after treatment measures usually lasts much less than with excision during surgery.
Sclerotherapy is sometimes called sclerotherapy. Manipulation involves the destruction of the connection between the hemorrhoidal node and its source of nutrition, represented by the bloodstream. The removal is performed by bloodless tactics, which allows you to successfully reduce the rehabilitation period, returning the patient to the usual pace of life within a week.
The essence of the method is reduced to the introduction into the lumen of the lesion of a special medicine, which put the name of the method - sclerosant. The medicinal substance causes an inflammatory process in the vein that provokes the adhesion of the venous walls. Some time after the injection, the walls are overgrown, which stops the natural influx of useful components to the nodule. The latter, with a lack of oxygen and other substances, gradually dies off. It comes out naturally through the anus during the next defecation.
Researchers began to use a similar format of therapy two hundred years ago. Only instead of human-safe sclerosing compositions, more aggressive components were used. Most often it was ethyl alcohol or carbolic acid solution. Today, doctors prefer to use pharmacological drugs that are better tolerated by the body, and also do not carry a lot of possible side effects.
The main medical indication for its implementation covers diagnosed hemorrhoids of the internal nodes in the first or second stage of development. Unlike most other minimally invasive analogues, sclerotherapy works with small formations. It is their excision that occurs most productively.
Occasionally, sclerotherapy is prescribed to eliminate nodules of the third degree, but with such a diagnosis, the predicted effectiveness drops several times. If a person has pathology at the fourth stage, then injection aid does not act as a monotherapy. It is made part of an integrated approach, using the devastating effects of therapeutic content to prepare for the destruction of the lesion.
Advantages and disadvantages
The most valuable positive quality of the presented procedure is safety for the victim. This is explained by the simplicity of intervention and the involvement of only the tested drugs. All of them proved that they do not have a negative impact on the internal organs and the surrounding healthy tissues. On the part of the patients, the method was highly appreciated due to its painlessness.
Compared with the need to endure pain during the healing of an open wound surface, sclerotherapy wins significantly. The victim will only experience a slight burning sensation during the insertion of a fine needle. Among other advantages, there are:
- the ability to recover on an outpatient basis;
- extended list of indications;
- the onset of well-being almost immediately;
- possibility to work with several knots in one run;
- relatively low cost.
Moreover, the exact price is announced by the attending physician after it has been decided how many entities need to be neutralized in one session. It also takes into account the cost of rehabilitation therapy, if it takes place. Manipulation is applied even in relation to elderly patients, to whom all other alternatives are contraindicated. The reason for this - the fragility and fragility of blood vessels. When injected, it has no significant effect.
Among the relative disadvantages are the inability to work with large tumors. Also, the injection will not cope if the proctologist diagnosed the external form of the disease, or a combined one. But even if everything goes perfectly, it is worth remembering that hardening helps to deal only with the symptoms of the disease, and does not remove the true root cause of the lesion. To eliminate the risk of recurrence, a person will have to try to carry out preventive measures.
They affect lifestyle changes for the better. This applies to maintaining an active image with a decrease in the number of hours spent in a sitting position. It is useful to review the usual diet.
Before sending the victim to undergo the procedure, the proctologist will issue him a referral for detailed examination. It will allow to exclude latent contraindications, about which nothing was said in the medical card.
The main prohibitions are called: exacerbation of the disease, thrombosis, severe bleeding, diagnosed anal fissures or fistulas.
An alternative approach will be sought by all those who, during the visualization of the problem area, could not clearly define the boundaries of inflammation and the node itself. This concerns the combined form of the course of the disease, when it is impossible to distinguish between external and external nodules.
Relative contraindications include pregnancy and lactation. It is better to wait for more favorable circumstances. Separately, a preliminary allergy test will be required to insure the patient against possible anaphylactic shock.
Although sclerotherapy does not belong to the surgical camp, it will still have to undergo preliminary training before its execution. The best solution here is a cleansing enema, made approximately two hours before the scheduled visit.
Sometimes an enema is allowed to be replaced with medicinal drugs. But the list of approved medications, their dosage and rules of use should be clarified with your doctor in advance.
The patient is placed on a medical couch, asking to press his legs to his stomach. In this position, it will be more convenient for him to endure all the time allotted for the injection. But if it turns out that the person is not too comfortable in the standard position, then you can position the patient on his side or ask him to take a knee-elbow position. Before the intervention, the area is thoroughly disinfected and a special gel is applied with an anesthetic effect. A special syringe whose needle is very thin is used as an injection tool. This helps reduce pain when the injection.
To the surgeon was able to reach the desired point, in the anal canal you need to enter the anoscope. A syringe with dialed sclerosing solution is injected through the anoscope, directing it to the hemorrhoid.
After the drug enters the blood supply zone of the problem area, it will immediately begin to act. To increase the effectiveness, inject a tool over a jagged line. It is she who is called to separate the epithelium insensitive to pain syndrome from the sensitive part of the squamous epithelium.
If during the procedure a person feels soreness, then this suggests that the injection is done incorrectly. The technique of its implementation involves the introduction of a parallel anal process to a depth of no more than two centimeters. For a smooth distribution of the drug solution, it will need to be injected very slowly.
And after the liquid in the syringe is over, the needle is left inside for a few more minutes. Such forethought helps to reduce the risk of bleeding, and also blocks the flow of medication back.
The impact of the drug on the walls of blood vessels begins with a call to the inflammatory response, which contributes to their gluing. It helps to replace unhealthy areas with connective tissue. Through it, the blood together with oxygen no longer enters the nodule, which guarantees the safe detachment of growth on its own.
To be safe, after hardening the patient is left under the supervision of medical staff for about an hour. At the end of the "quarantine holidays" he is allowed to go home, allowing him to follow the usual schedule with only minimal restrictions.
They cover a ban on vigorous physical activity and weight lifting. The term of the ban is three weeks.
Minor pains that can be relieved by analgesics will be completely normal. They are prescribed by the attending physician, taking into account the individual characteristics of the ward's organism, as well as the results of his examination.
Puffiness after manipulation disappears relatively quickly, taking with it a feeling of discomfort and inflammation in the anus. To check the dynamics of convalescence, the patient is asked to come to the reception again after about two weeks.
Victims, who decided on a minimally invasive operation, are almost always satisfied with the results obtained. Nodes are quickly reduced in size, which guarantees a significant relief of well-being. If the victim found several lesions, then they can be destroyed in stages in several pieces per approach. Between sessions it is recommended to withstand at least a week break, which will be enough for a full recovery.
In most cases, the intervention of the bloodless format is well tolerated by people if they have been thoroughly trained before. Complications are extremely rare and most often it is associated with a violation of the technology of drug administration, or medical errors.
To insure yourself from such a negative outcome, you need to spend time searching for a qualified professional with a good reputation. It will be worthwhile to look for reviews of those who have already gone through like that.
If the complication does occur, it will be expressed in:
The first option says that the solution was entered incorrectly. But with the diagnosis of the root causes of bleeding is somewhat more complicated. Here it is necessary to take into account the factor of how soon such a complication manifested itself. If the blood went immediately after the injection, it indicates that the surgeon has touched the artery passing through the node. Stop it will turn out pretty quickly.
It is more difficult to cope with the bleeding that opened in a few days. It indicates the formation of an ulcer, which has developed due to improperly selected dosage of the medical drug.
Another difficulty is getting sclerosing material into the anal vein. To indicate this will be too easy the introduction of medicinal fluid. Also, the victim will complain of an unpleasant taste in the mouth, pain around the liver.
In men, getting a pharmacologic agent into the prostate can be a complication. This happens if the representative of the stronger sex is suffering from prostate adenoma, or has a naturally enlarged prostate gland.
With a similar clinical picture, the consequences can be most terrible. The degree of damage here depends on how much substance has got into the specified zone, as well as the route of its introduction. After such a complication, the man will experience a delay in urine discharge, he will develop classical prostatitis.
With a large affected area with a huge amount of fluid injected, there is a chance to remain sterile or suffer from a purulent inflammatory process due to the rapid formation of an abscess.
From the positive, here you can select only the percentage probability of such an outcome. The share of any complications during sclerotherapy is less than one percent. If you go through full training in advance and select a qualified proctologist, then all of the above will be avoided.