Health Condition 1: O- Medical and Surgical Health Condition 2: K648- Other hemorrhoids
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Adults aged 18 to 70 years. Confirmed diagnosis of symptomatic internal hemorrhoids (Grade II, Grade III, or Grade IV by Goligher classification). Able and willing to provide written informed consent and adhere to the study protocol.
Exclusion criteria
Exclusion criteria: Pregnancy. Presence of portal hypertension, inflammatory bowel disease, or coagulopathy. Use of anticoagulants that cannot be safely withheld. Chronic high dose steroid use or immunocompromised status. History of prior anorectal surgery.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Mean postoperative pain score measured by Visual Analog Scale from 0 to 10Timepoint: 6 hours, 24 hours, 48 hours, 72 hours post procedure | — |
Secondary
| Measure | Time frame |
|---|---|
| Time to return to normal activities in days Timepoint: Post discharge diary until return to normal activities ;Incidence of postoperative complications including bleeding infection urinary retention and others as recorded Timepoint: From procedure until Day 30 Day 180 Day 365 follow up ;Requirement for opioid analgesics Timepoint: 6 hours 24 hours 48 hours 72 hours and follow up at Day 30 Day 180 Day 365 ;Health related quality of life assessed using EQ 5D 5L questionnaire Timepoint: Baseline and follow up at Day 30 Day 180 Day 365 ;Hemorrhoid recurrence rate Timepoint: Day 180 and Day 365 follow up ;Bowel continence assessed using Wexner incontinence score Timepoint: Day 30 Day 180 Day 365 follow up | — |
Countries
India
Contacts
Institute of Post Graduate Medical Education and Research and SSKM Hospital