Aklima Asad Abro, Kheo Ram Dholia, Muhammad Saleem Shaikh, Sikandar Ali Shaikh.
Non surgical modalities of treatment for hemorrhoids (a three years review).
Pak J Surg Jan ;25(1):18-21.

Objective: To determine the effectiveness of different non surgical modalities of treatment for haemorrhoids. Study Design: Quasi experimental. Setting & Duration: Surgical Unit I, Chandka Medical College Teaching Hospital, Larkana from April 2004 to March 2007. Methodology: A prospective, descriptive study was carried out, including variables like, age, gender, clinical manifestations and type of non surgical alternative of treatment, complications and stage of the illness. A total number of three hundreds patients with 1st and 2nd degree haemorrhoids were included while patients with 3rd and 4th degree and external haemorrhoids were excluded from the study. Data was obtained and collected in specially designed proforma for each patients. Most of the patients were dealt as O.RD case. Results: Various non surgical modalities of treatment for internal haemorrhoids were performed on 300 patients which were randomly selected. Mean age was 39 Years, with relatively male preponderance over females. Conservative treatment was given to 100 patients (33.33%). Successful results achieved in 75 patients (7501o). Out of 100 patients (33.33%) who were given injection sclerotherapy 69 patients (6991o) responded well, 13 patients had pain, 7 patients developed infection and 11 patients (11016) got no benefit from the treatment. 100 patients (33.33%) received band ligation, among those 86 patients (8601o) had uneven Nl recovery, 05 patients (501o) had pain while recurrence was seen in 09 patients (991o) who ultimately needed surgery. Conclusion: Conservative treatment is recommended for first and second degree haemorrhoids which sufficiently relieve symptoms. Injection Sclerotherapy and Banding treatment are procedures of choice for f rst and second degree haemorrhoids.

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