ABSTRACT
Purpose: The purpose of the study was to study the impact of sclerosing agent in cases of rectal prolapse in infants and children.Materials and Methods: A total of 200 cases of diagnosed rectal prolapse in infants and children attending a tertiary care ofWest Bengal were included in the study for the effect of submucosal injection of alcohol from a period of August 2016 to July2018. 1.5–2 ml of alcohol was linearly injected in three sites (two laterals and one posterior).Results: All 200 cases were followed at 3 months interval for a period of 2 years. One hundred and twenty-one patients (60.5%)had a duration of prolapse for 3–6 months. Forty-six patients (23.0%) had prolapse for more than 8 months and 33 (16.5%)patients had prolapse for more than 1 year. One hundred and ninety-one (90.5%) patients responded to a single injection. Fivepatients (2.5%) required the second injection. Four (2%) patients with age more than 10 years did not respond to the treatment.Twenty-five patients had fecal soiling for a period of 10–12 days. No infectious complication and no recurrence were observed.Conclusion: 2–5 ml of ethyl alcohol (96%) is effective for the treatment of rectal prolapse. The duration of rectal prolapsehad no deleterious effect on treatment; however, patients with age more than 10 years did not respond to sclerosing agent,probably due to different etiology.
ABSTRACT
Background: Hemangiomas are solitary or sometimes multiple flat or raised reddish blue lesions. These are benign, vascular tumours that can lead to disfigurement or may become life threatening. Oral mucosa and skin are most commonly affected. Many modes of therapy have been advised for hemangiomas, which include cautery, cryotherapy, radiotherapy and sclerosing agents. Aims & Objective: Present study was undertaken to study the non-surgical management of oral hemangioma. Material and Methods: A prospective study of all clinically diagnosed cases of oral hemangioma at a tertiary care hospital was carried out. Surface anaesthesia was given by 15% xylocaine spray. 3% sodium tetradecyl sulphate was given as intralesional injection at multiple sites with insulin syringe. 0.1 to 1ml of STS was injected depending upon the size of lesion. Follow up examination of all cases was done. Results: A total of 15 cases were included in the study, in a period of 5 years. Hemangioma regressed in all cases with relief of symptoms. All patients complaining of bleeding, inflammation and pain were given analgesic and anti-inflammatory drugs. Complete remission was seen in 86.67% of the patients. 13.33% showed partial regression with ulceration and sloughing, which subsided with subsequent treatment. Conclusion: Various treatment modalities are recognised in the management of oral hemangiomas. Use of 3% sodium tetradecyl sulfate is cheap, very effective and easy treatment modality. However, judicial use of dose, number and site of injections is advised to prevent further complications.
ABSTRACT
In the early period (B.C.) the definition of the primary varicose vein in lower extremity was dilated, tortuous and elongated vein. The care of varicose vein is directed toward ablation of pathologic vessels. This is achieved by removing them surgically or by obliterating them with sclerotherapy. The sclerosing agents first used, however, were too strong to be used successfully for the treatment of such veins. The introduction of less toxic sclerosing agents now makes it possible to treat varicose vein safely, reliably, and easily. PURPOSE: We has been tried the clinical reserch because of good result & possibility of therapy by only sclerotherpy in well defined selected indication of primary varicose vein. METHOD: We reviewed primary varicose vein involved in lower extremity of 463 cases that was well treated by sclerosing agents to Dept of Surg, Kangbuk Samsung Hosp, SungKyunKwan University College of Medicine, From January 1996 To December 2000. RESULT: 1. The distribution of the age were the first, 4th decade (40.2%), followed by 5th decade, 3th decade. The ratio of sex were more prevalent in female than male (1:10). 2. Sx & sign were showed cosmetic problem (60.5%) in most patients, followed by pain (18.8%), swelling (9.3%), Heaviness (7.1%). 3. The duration of illness were over 5 yrs in most patient 373 cases (80.6%). 4. The associating factor were correlated with pregnancy in most female (33.7%), others were family Hx (7.8%), long standing posture, DM, HTN, Trauma. 5. The size of varicose vein were type II in case 312 (67.4%), followed by type III (27.4%), type I (4.1%), type IV (1.1%) according to the classification by Dr. Weiss. 6. The frequency of injection were 2~4 injection (68.3%) in most patient. During 4months of injection therapy, almost varicose veins were disppeared (91.4%). 7. Post injection complication were thrombosis in 38 cases, followed by hyperpigmentation in 25 cases, necrosis in 8 cases. 8. Recurrence rate after injection were extremely rare (6 cases). CONCLUSION: The sclerotherapy of telangiectasia (type I, II) is highly effective. The treatment based on knowledge of venous anatomy, selection of sclerosing agents is highly likely to be successful.