To Compare the Effectiveness of 20% Hypertonic Saline Versus 5% Phenol in Almond Oil as a Sclerosing Agent in Grade 1 and 2 Hemorrhoids

Darshanjeet Singh Walia, Anand Singla, Kuldip Singh and Prabhjot Kaur

Department of Surgery, Government Medical College, India

^*Correspondance to: Anand Singla 

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Abstract:

Background: Hemorrhoidectomy is the procedure of choice for treating hemorrhoids most effectively. Now a day’s the emphasis is on conservative therapies and newer outpatient methods for treating hemorrhoids.
Objective: To compare the effectiveness of 20% hypertonic saline vs. 5% phenol in almond oil as a sclerosing agent in grade 1 and 2 hemorrhoids. Material and
Methods: A total of 60 patients randomly distributed in two groups were included in the study. One group was for sclerotherapy with hypertonic saline 20% and other group for sclerotherapy with 5% phenol in almond oil.
Results: 21 (75%), 5 (71.4%) and 2 (100%) patients out of 28 patients were relieved of bleeding after 1st, 2nd and 3rd sitting of sclerotherapy with hypertonic saline, while 16 (57.14%), 8 (67.66%) and 1 (25%) patients were relieved of bleeding after 1st, 2nd and 3rd sitting of sclerotherapy with phenol in almond oil. Relief from prolapsed was present in 11 (45.83%) patients in hypertonic saline group while 13 (54.17%) experienced decrease in the prolapsing symptoms. In phenol in almond oil group about 11 (61.11%) patients experienced relieve in the prolapsing symptoms while 7 (38.9%) of population experienced decrease in the prolapsing symptoms.
Conclusion: Sclerotherapy is effective, safe, simple and economical in the treatment of symptomatic I and II degree internal hemorrhoids. 20% hypertonic saline is slightly better than 5% phenol in almond oil both in relieving prolapse as well as bleeding.

Keywords:

Sclerotherapy; Hemorrhoids; Bleeding; Prolapsed

Cite the Article:

Singh Walia D, Singla A, Singh K, Kaur P. To Compare the Effectiveness of 20% Hypertonic Saline Versus 5% Phenol in Almond Oil as a Sclerosing Agent in Grade 1 and 2 Hemorrhoids. World J Surg Surgical Res. 2019; 2: 1104.