Prick
fibrosis tufts hemorrhoids is one simple method first used this method
depends heavily on the experience of the physician performing and now
rarely used.
1. Instruments.
- For a long time people in the UK are familiar with syringe and needle Gabriel (illustration). Today syringes and disposable needles became popular.
- Instruments that old view that more convenient for physicians. Gabriel needle prick only 1-2 cm deep should also avoid complications injected too deeply into the colon.
- However, today due to the risk of transmission of hepatitis B and HIV should increasingly popular authors types syringes and disposable needles.
- Goligher (1984) recommend using 5ml per injection 5% phenol in the oil phase. In the US, the authors as Hughes (1957) prefer to use 2 ml per injection hemorrhoids and using quinine-urea concentration of 2.4% with a pH of 6.
- Not seen any studies comparing the effectiveness of the substances listed below grade fibrosis to treat hemorrhoids but Keighley said that the effectiveness of the drug were similar.
2. Prepare the patient.
- Many authors that do not need to prepare anything special but some patients prefer to set coordinates pharmaceutical laxative effect before injecting hemorrhoids.
- Keighley said a few stool in the anal-rectal hemorrhoids injection is contraindicated. However, too much fertilizer is not acceptable.
- If the first examination of the rectum at distribution fiber we can inject soon. Sometimes colon preparation as much fluid in the intestine makes it more difficult to inject hemorrhoids are unprepared.
- The patient may be at the Sims position (left-leaning), located Ass or on a special table. Keighley found most convenient for the patient is lying, but when injected tufts hemorrhoids right - then it is difficult for physicians.
3. The injection technique.
- After placing the probe into the anal hard drawn barrel. Intestinal mucosa will cover the scope: they are above the anal canal. It looks like the mucosal lining of the colon normal.
- Goligher (1984) suggested that hemorrhoids tufts in place right after the hard-injection should most authors recommend that the first injection tufts hemorrhoids.
- If a partial withdrawal probe is pink mucosa becomes dark purple stem that is where we hemorrhoids treatment effects. It should be observed clearly strategic way to make sure the injected stem tufts of internal hemorrhoids.
- Physicians will hold syringes available drugs, the other hand holding the endoscope so clear hemorrhoids stem and lateral needle into 1cm deep and just pump a small amount of drugs the patient has observed. When injected properly, the patient completely painless.
- Some authors suggest that the direct injection into a vein bundle of hemorrhoids, the patient may feel sharp pain in the abdomen or chest tingling taste and mouth feel. We need to pay attention to this detail though we rarely crashed into a bun hemorrhoids.
- If the patient is seen strange mean injected too close to the edge of the anus or deep puncture too. Where injecting too close to the strategic need to withdraw the needle and injected at a higher position.
- Insert the right is the submucosal injection of stem and on the banks of hemorrhoids.
- If the injection pump and see the heavy hand is white listed is injected too shallow so easily cause ulcers and bleeding seals. In this case, the injection must go deeper.
- Keighley recommendation per 5ml injection drug use only.
- When withdrawing the needle if the bleeding, use a piece of gauze or wool presses few minutes. If hemostasis is required by a rubber band ligation of bleeding right place.
4. Complications of injection fibrosis tufts hemorrhoids
- If the drug is injected too many to list ulcer bleeding a lot. This case can be stitched seat hemostasis flow.
- Inject too deep, rectal medication spills can cause fever, pain, blood in the urine and inflammation luyet money online. These situations have intravenous antibiotics.
- After injecting fibrosis tufts hemorrhoids can have complications like severe complications are very rare.
a. Patients pale (as faint).
- A sometimes seen in some patients.
b. Bleeding.
- If injected directly into the stem hemorrhoids can commit powerful branch of hemorrhoids cause excessive bleeding.
- The treatment simply inject drugs around the submucosal bleeding point or a small gauze soaked in adrenaline levels 1/1000 tamp into the bleeding in a few minutes. We may also use the rubber band ligation of bleeding.
c. Prolapsed.
- This complication is that when injected fiber tufts grade III hemorrhoids. The phenomenon of swelling and stimulate laid out that patients with ongoing needs. Patients push that prolapsed bowel, bleeding and thrombosis without being pushed up.
- For the treatment of hemorrhoids just pushed up and the patient lying on the apparently 24 to 48 hours until the bun hemorrhoids reduce swelling.
Ulcer infection by injecting fiber.
- This condition occurs when we inject the drug directly into the lining or at a point where we inject too much.
- Ulcers occur after injection of a week fibrosis. Drive-defined ulcer, shore hard to do with cancer lesions. Long-term follow ulcer may have no symptoms or cause bleeding.
- Blood flow is usually negligible, but also when running a lot of that blood transfusions.
- Approximately 3 to 6 weeks, the ulcer healed scar and of course during this time should not get fiber to another.
- The treatment just use a small gauze soaked Adrenalne concentration flowing 1/1000 tamp in place for a few minutes. We may also use the rubber band ligation of bleeding.
d. Other rare complications.
- Includes:
+ Abscess at the injection site submucosal fibrosis. This complication is often broken by themselves.
+ Sub blood and prostate abscess due to our deep injection process.
- However, today due to the risk of transmission of hepatitis B and HIV should increasingly popular authors types syringes and disposable needles.
- Goligher (1984) recommend using 5ml per injection 5% phenol in the oil phase. In the US, the authors as Hughes (1957) prefer to use 2 ml per injection hemorrhoids and using quinine-urea concentration of 2.4% with a pH of 6.
- Not seen any studies comparing the effectiveness of the substances listed below grade fibrosis to treat hemorrhoids but Keighley said that the effectiveness of the drug were similar.
2. Prepare the patient.
- Many authors that do not need to prepare anything special but some patients prefer to set coordinates pharmaceutical laxative effect before injecting hemorrhoids.
- Keighley said a few stool in the anal-rectal hemorrhoids injection is contraindicated. However, too much fertilizer is not acceptable.
- If the first examination of the rectum at distribution fiber we can inject soon. Sometimes colon preparation as much fluid in the intestine makes it more difficult to inject hemorrhoids are unprepared.
- The patient may be at the Sims position (left-leaning), located Ass or on a special table. Keighley found most convenient for the patient is lying, but when injected tufts hemorrhoids right - then it is difficult for physicians.
3. The injection technique.
- After placing the probe into the anal hard drawn barrel. Intestinal mucosa will cover the scope: they are above the anal canal. It looks like the mucosal lining of the colon normal.
- Goligher (1984) suggested that hemorrhoids tufts in place right after the hard-injection should most authors recommend that the first injection tufts hemorrhoids.
- If a partial withdrawal probe is pink mucosa becomes dark purple stem that is where we hemorrhoids treatment effects. It should be observed clearly strategic way to make sure the injected stem tufts of internal hemorrhoids.
- Physicians will hold syringes available drugs, the other hand holding the endoscope so clear hemorrhoids stem and lateral needle into 1cm deep and just pump a small amount of drugs the patient has observed. When injected properly, the patient completely painless.
- Some authors suggest that the direct injection into a vein bundle of hemorrhoids, the patient may feel sharp pain in the abdomen or chest tingling taste and mouth feel. We need to pay attention to this detail though we rarely crashed into a bun hemorrhoids.
- If the patient is seen strange mean injected too close to the edge of the anus or deep puncture too. Where injecting too close to the strategic need to withdraw the needle and injected at a higher position.
- Insert the right is the submucosal injection of stem and on the banks of hemorrhoids.
- If the injection pump and see the heavy hand is white listed is injected too shallow so easily cause ulcers and bleeding seals. In this case, the injection must go deeper.
- Keighley recommendation per 5ml injection drug use only.
- When withdrawing the needle if the bleeding, use a piece of gauze or wool presses few minutes. If hemostasis is required by a rubber band ligation of bleeding right place.
4. Complications of injection fibrosis tufts hemorrhoids
- If the drug is injected too many to list ulcer bleeding a lot. This case can be stitched seat hemostasis flow.
- Inject too deep, rectal medication spills can cause fever, pain, blood in the urine and inflammation luyet money online. These situations have intravenous antibiotics.
- After injecting fibrosis tufts hemorrhoids can have complications like severe complications are very rare.
a. Patients pale (as faint).
- A sometimes seen in some patients.
b. Bleeding.
- If injected directly into the stem hemorrhoids can commit powerful branch of hemorrhoids cause excessive bleeding.
- The treatment simply inject drugs around the submucosal bleeding point or a small gauze soaked in adrenaline levels 1/1000 tamp into the bleeding in a few minutes. We may also use the rubber band ligation of bleeding.
c. Prolapsed.
- This complication is that when injected fiber tufts grade III hemorrhoids. The phenomenon of swelling and stimulate laid out that patients with ongoing needs. Patients push that prolapsed bowel, bleeding and thrombosis without being pushed up.
- For the treatment of hemorrhoids just pushed up and the patient lying on the apparently 24 to 48 hours until the bun hemorrhoids reduce swelling.
Ulcer infection by injecting fiber.
- This condition occurs when we inject the drug directly into the lining or at a point where we inject too much.
- Ulcers occur after injection of a week fibrosis. Drive-defined ulcer, shore hard to do with cancer lesions. Long-term follow ulcer may have no symptoms or cause bleeding.
- Blood flow is usually negligible, but also when running a lot of that blood transfusions.
- Approximately 3 to 6 weeks, the ulcer healed scar and of course during this time should not get fiber to another.
- The treatment just use a small gauze soaked Adrenalne concentration flowing 1/1000 tamp in place for a few minutes. We may also use the rubber band ligation of bleeding.
d. Other rare complications.
- Includes:
+ Abscess at the injection site submucosal fibrosis. This complication is often broken by themselves.
+ Sub blood and prostate abscess due to our deep injection process.
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