Saeed Khan, Bakhtiar Ullah, Mussadiq Jafri, Siddique Ahmad, Amir Zeb.
Safety and effi cacy of single session 5% phenol almond oil injection sclerotherapy in second degree haemorrhoids.
Pak J Surg Jan ;36(3):216-20.

Objective: To determine safety and efficacy of single session 5% phenol almond oil sclerotherapy in second degree haemorroids. Study design: Cross sectional Study duration: Study duration was 6 months ( January 2019-June 2019). Study settings: Study was conducted at Hayatabad Medical Complex (HMC), Peshawar. Material and Methods: A sample size of 150-patients was calculated using WHO calculator. Patients were selected with non probability consecutive sampling. Patients were given 5% phenol almond oil injection and followed after 4 weeks for safety and efficacy measurement. SPSS version 24 was utilized for data collection. Chi-square and fissure exact test was applied. P value <=0.05 was considered significant. Results: Total 150 patients were included in study. There were 100(66.7%) males and 50(33.3%) females. Mean age of patients was 40.8+-8.8SD. Degree of resolution was <=90% in 64(42.7%) and >90% in 86(57.3%) patients. Treatment satisfaction was seen in 66.7% and acceptability in 73.3% patients. Anal bleeding was seen in 13(8.7%), anal protrusion in 12(8%), anal discharge in 13(8.7%) and pruritus ani in 10(6.7%) patients. A significant association between degree of resolution and number of haemorrhoidal tissue (p=0.000), satisfaction (p=0.02), however, insignificant association with acceptability (p=0.06) was found. Conclusion: Injection sclerotherapy 5% phenol almond oil is safe, effective and acceptable treatment for second stage of haemorrhoids with limited complications.

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