Home > Journals > Minerva Chirurgica > Past Issues > Minerva Chirurgica 2007 August;62(4) > Minerva Chirurgica 2007 August;62(4):235-40

CURRENT ISSUE
 

ARTICLE TOOLS

Reprints

MINERVA CHIRURGICA

A Journal on Surgery


Indexed/Abstracted in: EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
Impact Factor 0,877


eTOC

 

ORIGINAL ARTICLES  


Minerva Chirurgica 2007 August;62(4):235-40

language: English

Foam sclerotherapy with Fibrovein (STD) for the treatment of hemorrhoids, using a flexible endoscope

Benin P, D’Amico C.

Department of General Surgery Piove di Sacco Hospital Piove di Sacco, Padova, Italy


PDF  


Aim. This case study was designed to evaluate foam sclerotherapy of hemorrhoidal disease using a flexible endoscope.
Methods. We treated 250 patients of grade II-IV hemorrhoids with Sotradecol foam. To obtain sclerosing foam, we used a special foam kit, which produced a stable and standardized sclerosing foam. The quantity of foam injected into the hemorrhoids was 1 to 2 cc with a total of 6 cc for each session. Variables to assess efficacy of treatment were: pain, bleeding and prolapse.
Results. Generally, bleeding and hemorrhoidal prolapse were resolved with at most two sclerotherapy sessions. However, pain usually had disappeared after the first session. No complications such as mucosal erosions at the foam injection site, formation of abscesses, bacteraemia, or fistulas occurred.
Conclusion. The advantages of sclerosing foam are its adhesiveness and compactness, its greater volume, its increased spasm generation, and the greater sclerosing power. Sclero-therapy with foam makes it possible to reach optimal results with small amounts of sclerosing agent and fewer risks of complications.

top of page

Publication History

Cite this article as

Corresponding author e-mail