What is Percutaneous Sclerotherapy?
- Sclerotherapy is a procedure which is in inducing sclerosis and healing by injection substances which cause intense irritation or reaction.
Where is Sclerotherapy Indicated?
- Indicated in Primary Aneurysmal Bone Cyst
- Ideal Lesion is one which has intact cortices (No breach or fracture)
How is Sclerotherapy Performed?
- Day care basis
- Under local anesthesia and/or general anesthesia
- Small Scar (Similar to Core Needle Biopsy)
- First step Is to biopsy the area under image guidance and confirm the diagnosis (bloody aspiration in case of Primary ABC)
- Next step is when a curette is used to scrape the wall of cavity under image guidance (making sure not to breach the wall) and aspirating its contents.
- The sample is sent for further histopathological correlation.
- The above step may be repeated depending on the crypts/septate and size of lesion.
- Next, 3% Polidocanol is injected (maximum of 4cc) into cavity in all directions.
- Adequate digital compression is given and followed by application of compression bandage.
What precautions to be taken post Sclerotherapy?
- Avoid strenuous activities.
- In case of lower limb, a degree of protection from bearing full weight may be advised.
How long does it take for results in Curopsy?
- It takes an average of 3 -6 months for discernible results on Sclerotherapy.
Does sclerotherapy need be repeated?
- Yes, complete healing is seen on an average of 2-3 injections.
- The interval between injections is between 2-3 months.
What is success rate of Sclerotherapy?
- The rate of success has been show between 84 to 92 %.
- In such, cases the lesion is treated with extended curettage as feasible.
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