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Resultats a 4 ans de la technique Rosi-Colucci endosclero-mousse avec polidocanol

Societé Francaise de Phlebologie Paris 19 Novembre 2010 Club Mousse. L’ECHOSCLEROSE DU PLEXUS HEMORROIDAIRE. Resultats a 4 ans de la technique Rosi-Colucci endosclero-mousse avec polidocanol. G.Rosi – Perugia Italie www.rosigianluigi.it.

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Resultats a 4 ans de la technique Rosi-Colucci endosclero-mousse avec polidocanol

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  1. Societé Francaise de Phlebologie Paris 19 Novembre 2010 Club Mousse L’ECHOSCLEROSE DU PLEXUS HEMORROIDAIRE Resultats a 4 ans de la technique Rosi-Colucci endosclero-mousse avec polidocanol G.Rosi – Perugia Italie www.rosigianluigi.it Dr. Gianluigi Rosi rosiflebiteçlibero.it Perugia

  2. Anatomie et physiopathologie Plexus Hemorroidaire aima:sang reo:circule G.Rosi – Perugia Italie www.rosigianluigi.it Dr. Gianluigi Rosi rosiflebiteçlibero.it Perugia

  3. La sclerose dans les anneès • Goligher J. Clarke C.G., Giles G.R., Results of conservative management of internal haemorroids. B.M.J., 1967 • Khoury GA;Randomised trial to compare single with multiple phenol injection treatment for haemorrhoids; Br. J. Surg.1985 • Consiglio L., e al : Terapia sclerosante delle emorroidi indicazioni e tecnica Atti cong. Cortona 1986 • Mann; The immediate response to injection therapy for first-degree haemorrhoids. J.R.Soc Med 1988 • Senapati A: A randomised trialto comparethe results of injection sclerotherapy with a bulk laxative alone in the treatment of bleeding haemorrhoids. Int J Colorectal Dis 1988 • Ponsky; Endoscopic retrograde haemorrhoidal sclerotherapy using 23,4% saline; Preliminary report; Gastrointest Endosc 1991 • Johanson Optimal non surgical treatment of Hemorrohoids. A comparative Analysis of infrared coag., Rubber band ligation and Injection sclerotherapy Am.J.Gastroenterology 1992; Dr. Gianluigi Rosi rosiflebiteçlibero.it Perugia

  4. Classification des Hemorroides • I Degree: Sang, No prolapse • II Degree:Prolapse pendant l’effort mais rentre tout seul • III Grado: Prolapse qui rentre avec l’aide • IV Grado: Prolapse qui peut plus rentrè Dr. Gianluigi Rosi rosiflebiteçlibero.it Perugia

  5. Protocollo “EmoRCol”follow - up Materiel & Methode • Sujets traitee en 48 mois: 600 • 150 Sujets sont dans le protocol depuis 4 ans • 59 Femmine 39,1% 91 Maschi 60,9% • - Eta 52+/- 26 56 +/- 17 Dr. Gianluigi Rosi rosiflebiteçlibero.it Perugia

  6. Protocollo “EmoRCol” Degree des Hemorroides l ° 9,9% II° 66,3 % III° 21,8 % IV° 2% - Follow Up 40 mois 150 sujets • Symptomes: - Douleur:42% -Sang:20% - Douleur & Sang 35% - - Prolapse 3% • Deja operee des autres techniques 13,9% • Pathologie Hemorroidaire > de 8 mois • Valutation a 30/60/90/180 gg e 1-2-3-4 ans • Questionnaire SF 36 avec evaluation du douleur, Sang, Malaise e bien-etre Dr. Gianluigi Rosi rosiflebiteçlibero.it Perugia

  7. Echelle analogiqueProtocol Etude EmoRCol Dr. Gianluigi Rosi rosiflebiteçlibero.it Perugia

  8. Materiel pour l’ Endoscleromousseavec technique de “EmoRCol” • Aguille 23 G 1 :4 Dr. Gianluigi Rosi rosiflebiteçlibero.it Perugia

  9. 0 30 60 90 1 a 2 a 4 a. DOULEUR VAS Sample size = 150 Time to reach minimum Days = 79,6 95% CI = 56,1 to 103,1 0 1 2 3 4 5 6 7 8 9 10 Dr. Gianluigi Rosi rosiflebiteçlibero.it Perugia

  10. 0 30 60 90 1 a 2 a 4 a. SAIGNEMENT % Sample size = 150 Time to reach minimum Days = 50.7 95% CI = 38.3 to 63.1 0 10 20 30 40 50 Dr. Gianluigi Rosi rosiflebiteçlibero.it Perugia

  11. 0 30 60 90 1 a 2 a 4 a MALAISE Sample size = 150 Time to reach minimum Days = 95 95% CI = 71 to 118 % Change = -85.3 % 95% CI = -88.9 to -80.9 0 1 2 3 4 5 6 7 8 9 10 Dr. Gianluigi Rosi rosiflebiteçlibero.it Perugia

  12. 0 30 60 90 1 a 2 a 4 a 0 1 2 3 4 5 SAIGNEMENT VAS Sample size = 150 Time to reach minimum Days = 38.8 95% CI = 30.5 to 47.1 Dr. Gianluigi Rosi rosiflebiteçlibero.it Perugia

  13. 0 30 60 90 1 a 2 a 4 a 0 1 2 3 4 5 6 7 8 9 10 BIEN-ETRE VAS Sample size = 150 Time to reach maximum Days = 92,8 95% CI = 72.1 to 113,4 Dr. Gianluigi Rosi rosiflebiteçlibero.it Perugia

  14. NOMBRE DE TRAITMENT Dr. Gianluigi Rosi rosiflebiteçlibero.it Perugia

  15. DEGREE DES HEMORROIDES Dr. Gianluigi Rosi rosiflebiteçlibero.it Perugia

  16. Dr. Gianluigi Rosi rosiflebiteçlibero.it Perugia

  17. angio TC con mdc + athossyscleroldu plexus hemorroidaire Dr. Gianluigi Rosi rosiflebiteçlibero.it Perugia

  18. Protocol “EmoRCol”Technique Rosi-Colucci CONCLUSION 1. La procedure a 4 ans est ok 2. L’ endo-scleromousse est tres èfficace pour traiter les hemorroides; 3. Ne presente pas des complication a difference du traitment chirurgical 4. Le 95% des sujets traiter ont eliminè le symptoms de la pathologie hèmorroidaire 5. Est une procedure que ont peut repeter , bien acceptès , ameliore les abitudes alimentaire et regolarize la function de l’intestin Dr. Gianluigi Rosi rosiflebiteçlibero.it Perugia

  19. Technique Rosi-Colucci Endosclero-mousse Les sujets traiter sont satisfait a 4 ans Ils ont changer leur style de vie Ils ont ameliorer leur abitudes alimentaire Grace a une synergie entre deux specialiste: L’ Angiologue & le Gastroenterologue Dr. Gianluigi Rosi www.rosigianluigi.it Diplome Interuniversitaire Angiologie-Grenoble 1990 Dr. Gianluigi Rosi rosiflebiteçlibero.it Perugia

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