Transanal Haemorrhoidal Dearterialisation Versus Stapler Haemorrhoidopexy

University of Roma La Sapienza124 enrolled

Overview

The aim of the present study was to compare the results of transanal haemorrhoidal dearterialisation and stapler haemorrhopidopexy in the treatment of grade III and IV haemorrhoids with a long-term follow-up.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

TRIPLE

Enrollment

124

Conditions

Haemorrhoids

Interventions

Transanal haemorrhoidal dearterialisationPROCEDURE

Closure of the arterial blood flow to the haemorrhoidal plexus, using a dedicated proctoscope with a Doppler probe, and a rectal mucopexy

Stapler haemorrhoidopexyPROCEDURE

Haemorrhoidopexy with a single dedicated circular stapling device (PPH 03, Ethicon Endo-Surgery, Ohio, USA).

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: * grade III and IV hemorrhoids requiring hemorrhoidectomy. Exclusion Criteria: * first and second degree hemorrhoids * patients with firm and fibrotic external irreducible haemorrhoids * thrombosed hemorrhoids; recurrent hemorrhoids after previous surgical treatment * history of inflammatory bowel disease; history of colon, rectal or anal cancer * inability to give informed consent * age \< 18 years * pregnant women.

Locations (1)

The City Hospital

Dubai, United Arab Emirates

Outcomes

Primary Outcomes

Recurrence

A telephone interview with a structured questionnaire at a median follow-up of 42 months.

Time frame: 42 months

Secondary Outcomes

Postoperative pain

Pain score 24 hr after operation

Time frame: 24 hr

Complications

Intra and postoperative complication within 30 days.

Time frame: One month

Data from ClinicalTrials.gov

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