Outpatient treatment of isolated strangulated haemorrhoids with single dose injection sclerotherapy and oral Daflon.
OBJECTIVE
To assess the efficacy of single, large dose injection sclerotherapy together with oral Daflon 500 mg in the management of isolated strangulated haemorrhoids.


METHODS
Prospective non randomised study.


METHODS
Private hospital, Sri Lanka.


METHODS
15 patients (9 men and 6 women, median age 28 years, range 19-54) with isolated strangulated haemorrhoids.


METHODS
Resolution of symptoms at 12 weeks, residual haemorrhoids, and side effects of Daflon.


RESULTS
14 patients were evaluated at 12 weeks, and symptoms had resolved completely in 13. In all of these patients, the prolapsed haemorrhoid was restored within the anal canal. The remaining patient developed circumferential prolapsed haemorrhoids which were treated by surgical excision. No side effects of Daflon were reported.


CONCLUSIONS
Single, large dose injection sclerotherapy combined with Daflon 500 mg was beneficial in the short term in patients with isolated strangulated haemorrhoids.
Deen
K I
KI
Department of Surgery, Faculty of Medicine, University of Kelaniya, Sri Lanka.
D000284:Administration, Oral; D000328:Adult; D000553:Ambulatory Care; D003131:Combined Modality Therapy; D004145:Diosmin / Q000008:administration & dosage*; D005260:Female; D006484:Hemorrhoids / Q000628:therapy*; D006801:Humans; D015552:Injections, Intralesional; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D015911:Sclerotherapy / Q000379:methods*
D004145:Diosmin