Prolapsed Hemorrhoids: Assessment of Various Surgical Modalities

Theodor Bilharz Research Institute90 enrolled

Overview

Postoperative complications like pain, hemorrhage, anal stenosis, and incontinence, which can slow down recovery, are frequently associated with a standard hemorrhoidectomy. New procedures such the LigaSure Vessel Sealing System (LVSS) and the staplers have allowed us to perform a bloodless hemorrhoidectomy with faster recovery and less postoperative discomfort.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

SINGLE

Enrollment

Conditions

Piles

Interventions

LigaSure HemorroidectomyDEVICE

Hemorroidectomy was done using the LigaSure Vessel Sealing System (LVSS)®

Stapled HemorrhoidopexyDEVICE

Hemorrhoidectomy was done using the PPH stapler.

Traditional hemorroidectomyPROCEDURE

Hemorrhoidectomy was done using the Milligan-Morgan technique

Eligibility

Sex: ALLMin age: 18 YearsMax age: 65 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Age between 18 and 65 years old. * symptomatic 4th-degree primary hemorrhoids * American Society of Anesthesiologists (ASA) I,II. Exclusion Criteria: * who are under the age of 18 and more than 65 years old,. * Bleeding tendency. * Patients with first-, second- or third-degree piles. * Perianal fistula as an example of concurrent anal pathology. * American Society of Anesthesiologists (ASA) III, IV, and V.

Locations (1)

Theodor Bilharz Research Institute

Giza, Egypt

Outcomes

Primary Outcomes

To measure the pain score and record adverse events in the three groups. pain was measured using the visual analog scale, which consists of a 10 cm horizontal line, anchored by descriptors such as "no pain" at 0 cm and "worst imaginable pain at 10 cm,"

A visual analog scale (VAS) was used to assess pain after surgery. Bleeding, discomfort, and urine retention were among the postoperative factors that were recorded. A Visual Analog Scale (VAS) is a validated, subjective, and continuous psychometric response scale used to measure intensity in areas like pain, fatigue, or mood. It typically consists of a 10 cm horizontal line, anchored by descriptors such as "no pain at 0 cm" and "worst imaginable pain at 10 cm," with patients marking their level.

Time frame: 1.5 years

Data from ClinicalTrials.gov

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