Comparison Between Excisional Hemorrhoidectomy and Haemorrhoidal Dearterialisation With Anopexy

Scientific Institute San Raffaele

Status and phase: Completed; Phase 4

Conditions: Third Degree Hemorrhoids

Treatments: Procedure: Hemorrhoidectomy; Procedure: Hemorrhoidal dearterialization

Study type: Interventional

Funder types: Other

Identifiers

NCT01263431

Emorroidi grado 3

Details and patient eligibility

About

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

Full 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

Enrollment: 50 patients

Sex: All

Ages: 18 to 80 years old

Volunteers: No Healthy Volunteers

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

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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50 participants in 2 patient groups

Hemorrhoidectomy

Active Comparator group

Description:

Excision of hemorrhoid cushions

Treatment:

Procedure: Hemorrhoidectomy

Hemorrhoidal dearterialization

Experimental group

Description:

Ligation of therminbal branches oh hemorrhoid arteries

Treatment:

Procedure: Hemorrhoidal dearterialization