• Dr DEWAT RAM NAKIPURIA
• DR UPENDRA C BISWAL

Background:Sclerotherapy is the established treatment modality for bleeding Grade 1 & 2 haemorrhoids.Surgery conventional or stapled hemorrhoidectomy has many side effects but proctoscopic sclerotherapy is an ambulatory method of controlling bleeding early hemorrhoids.it is safe without major complications,low in cost, and very effective.Out of many sclerosants, inj polidocanol either as foam or liquid stop bleeding efficiently.The aim of this study was to assess the efficacy and safety of polidocanol & compare outcome of polidocanol in foam and liquid form. Methods:100 patients with early haemorrhoids were randomised to foam or liquid sclerotherapy (polidocanol 3%) and blinded to treatment assignment in equal proportion. After first sclerotherapy,injection was stopped as bleeding stopped but 2nd session done if after 2 weeks bleeding continued.Follow up was done after 12 weeks of last sclerotherapy.Results:90% Patients in foam group were treated successfully after Ist sclerotherapy session compared to the liquid group (80%; p = 0.01) in grade I haemorrhoid patients.More patients were satisfied with their treatment in the foam group than in the liquid group (99 vs. 84%; p = 0.009). Additionally, in the foam group, bleeding stopped after 2nd sessions but in liquid group 2% patient required 3rd session.(p < 0.001). In foam group, the total amount of injected polidocanol was reduced (p < 0.001).Conclusions: In the treatment of bleeding early haemorrhoids, polidocanol 3% is very effective and safe non surgical entity to control bleeding.The results of this study show that polidocanol 3 % foam,prepared by Tessari method from liquid form of polidocanol is more effective and safe compared to 3% liquid polidocanol

Bleeding,Haemorrhoids,Polidocanol,Sclerotherapy

"Role Of Sclerosant Polidocanol In Bleeding Early Haemorrhoids & Compare Efficacy Of It's Foam & Liquid Form", International Journal of Emerging Technologies and Innovative Research (www.jetir.org), ISSN:2349-5162, Vol.10, Issue 6, page no.d363-d367, June-2023, Available :http://www.jetir.org/papers/JETIR2306345.pdf

"Role Of Sclerosant Polidocanol In Bleeding Early Haemorrhoids & Compare Efficacy Of It's Foam & Liquid Form", International Journal of Emerging Technologies and Innovative Research (www.jetir.org | UGC and issn Approved), ISSN:2349-5162, Vol.10, Issue 6, page no. ppd363-d367, June-2023, Available at : http://www.jetir.org/papers/JETIR2306345.pdf