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Comparison Between Excisional Hemorrhoidectomy and Haemorrhoidal Dearterialisation With Anopexy

Phase 4
Completed
Conditions
Third Degree Hemorrhoids
Interventions
Procedure: Hemorrhoidectomy
Procedure: Hemorrhoidal dearterialization
Registration Number
NCT01263431
Lead Sponsor
Scientific Institute San Raffaele
Brief Summary

Aim of the study is to compare short term results of 2 surgical treatment for grade 3 hemorrhoidal disease, namely: pain and postoperative morbidity,complications and effectiveness within 30 days, re-starting daily and working activity, patients' satisfaction

Detailed Description

Excisional haemorrhoidectomy is burdened by severe postoperative pain. For this reason less painful treatments have been developed, such as Doppler-guided haemorrhoidal artery ligation and stapled anopexy. Both techniques seem to be safe, causing little postoperative pain. A combination of the two techniques could possibly treat both bleeding and prolapse with minimal discomfort

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
50
Inclusion Criteria
  • Patients aged 18-80, candidate to surgery for 3rd degree hemorrhoids
Exclusion Criteria
  • Previous anal surgery or pelvic radiotherapy
  • Fecal incontinence or obstructed defecation
  • IBD, IBS

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
HemorrhoidectomyHemorrhoidectomyExcision of hemorrhoid cushions
Hemorrhoidal dearterializationHemorrhoidal dearterializationLigation of therminbal branches oh hemorrhoid arteries
Primary Outcome Measures
NameTimeMethod
postoperative pain1 week
Secondary Outcome Measures
NameTimeMethod
postoperative morbidity30 days
Relapse24 months
resumption of working activity30 days
patient's satisfaction30 days

Trial Locations

Locations (1)

San Raffaele Scientific Institute

🇮🇹

Milano, Italy

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