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Ethanol sclerotherapy in pediatric rectal prolapse: efficacy, complications, and influencing factors.
BMC Surg
November 2024
School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran.
Introduction: Rectal prolapse is prevalent in children and the elderly, impacting quality of life significantly. Traditional surgical interventions carry risks, especially in pediatric patients. Ethanol sclerotherapy offers a less invasive alternative, inducing fibrosis and thickening of the rectal wall.
View Article and Find Full Text PDFSkin necrosis following sclerotherapy. Part 2: Risk minimisation and management strategies.
Phlebology
October 2022
Dermatology, Phlebology and Fluid Mechanics Research Laboratory, St Vincent's Centre for Applied Medical Research, Darlinghurst, NSW Australia.
Tissue necrosis is a serious but rare complication of sclerotherapy. Early detection and targeted management are essential to prevent progression and minimise serious complications. In the first instalment of this paper, we reviewed the pathogenic mechanisms of post-sclerotherapy necrosis.
View Article and Find Full Text PDFSkin necrosis following sclerotherapy. Part 1: Differential diagnosis based on classification of pathogenic mechanisms.
Phlebology
July 2022
Dermatology, Phlebology and Fluid Mechanics Research Laboratory, St Vincent's Centre for Applied Medical Research, Darlinghurst NSW Australia.
Tissue necrosis is a significant but uncommon complication of sclerotherapy. The pathogenic mechanisms of this often-debilitating complication have been poorly described in the literature. To elucidate the pathological mechanisms, we propose a morphological approach to classify sclerotherapy-induced skin necrosis into two categories of round and stellate (star-like) necrosis.
View Article and Find Full Text PDFLow-flow vascular malformations of the hand and forearm: a multidisciplinary experience in a tertiary paediatric centre.
ANZ J Surg
September 2021
Department of Paediatric Surgery, Sydney Children's Hospital, Sydney, New South Wales, Australia.
Background: Vascular malformations (VMs) involving the hand and forearm in children provide management challenges due to complex anatomy, indispensable functionality and developmental implications.
Methods: The institution's Vascular Registry was searched for patients with hand and arm VMs, supplemented by chart review of included patients.
Results: Twenty-one patients were identified, 52% male, with mean presenting age 5.
Retrospective study of hematologic complications in patients with slow-flow vascular malformations undergoing sclerotherapy.
Pediatr Blood Cancer
October 2020
Hemangioma and Vascular Malformation Center, Division of Interventional Radiology, Cincinnati Children's Hospital Medical Center, University of Cincinnati College of Medicine, Cincinnati, Ohio.
Background: Slow-flow vascular malformations (SFVM) are associated with localized intravascular coagulopathy (LIC), which is characterized by elevated D-dimer and, when severe, hypofibrinogenemia. LIC results in intralesional clotting and hemorrhage and increases risk for significant thrombotic and bleeding complications. Sclerotherapy has been a suggested potential trigger for LIC worsening to disseminated intravascular coagulopathy.
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