Comparison of Hemorrhoidectomy vs. Finger Guided Hemorrhoidal Artery Ligation for Grade III Hemorrhoids

A Comparative Clinical Study To Evaluate Efficacy Of Hemorrhoidectomy Versus Finger Guided Hemorrhoidal Artery Ligation In The Management Of Grade III Hemorrhoids - NIL

Status

Active, not recruiting

Phases

Phase 2

Study type

Interventional

Source

CTRI

Registry ID

CTRI/2026/02/103889

Enrollment

Registered

2026-02-16

Start date

Unknown

Completion date

Unknown

Last updated

2026-03-02

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Health Condition 1: K642- Third degree hemorrhoids

Interventions

Intervention1: Milligan-Morgan Hemorrhoidectomy: Conventional excisional hemorrhoidectomy using Milligan-Morgan technique under anesthesia. Hemorrhoids are ligated at the base and removed surgically.

Eligibility

Inclusion criteria

Inclusion criteria: 1. Patients aged between 18 and 70 years 2. Patients of either sex 3. Patients with primary hemorrhoids 4. Patients clinically diagnosed with Grade III internal hemorrhoids 5. Patients who are medically fit for surgery under spinal anesthesia 6. Patients who are willing and able to provide written, informed consent

Exclusion criteria

Exclusion criteria: 1. Patients with Grade I, II, or IV hemorrhoids 2. Patients with a history of previous surgery for any anal disorder 3. Patients presenting with acute complications such as thrombosed or strangulated hemorrhoids 4. Patients with Significant fecal incontinence 5. Patients with other active anorectal diseases, including chronic anal fissure with severe sphincter spasm, fistula-in-ano, or perianal abscess 6. Patients with known coagulopathies or on therapeutic anticoagulation that cannot be safely discontinued 7. Pregnant or lactating women 8. Patients with an altered cognitive status who are unable to provide informed consent

Design outcomes

Primary

Measure	Time frame
Disease recurrence (reappearance of primary symptoms - prolapse of Grade II or higher or significant bleeding) confirmed on proctoscopyTimepoint: At 90-day follow-up	—

Secondary

Measure	Time frame
Post-operative Pain Intensity Timepoint: 24 hours, 48 hours, 7 days, 30 days, 60 days, and 90 days;Post-operative Analgesic Requirement Timepoint: Up to 90 days ;Mean Operative Time Timepoint: Day 0;Intra-operative Blood Loss Timepoint: Day 0;Duration of Hospital StayTimepoint: Day 0 to 90;Time to Return to Normal Activities Timepoint: Up to 90 days;Post-operative Complications Timepoint: 24 hours, 48 hours, 7 days, 30 days, 60 days, and 90 days;Severity of BleedingTimepoint: 7 days, 30 days, 60 days, and 90 days;Severity of Itching and DischargeTimepoint: 7 days, 30 days, 60 days, and 90 days	—

Measure

Time frame

Post-operative Pain Intensity Timepoint: 24 hours, 48 hours, 7 days, 30 days, 60 days, and 90 days;Post-operative Analgesic Requirement Timepoint: Up to 90 days ;Mean Operative Time Timepoint: Day 0;Intra-operative Blood Loss Timepoint: Day 0;Duration of Hospital StayTimepoint: Day 0 to 90;Time to Return to Normal Activities Timepoint: Up to 90 days;Post-operative Complications Timepoint: 24 hours, 48 hours, 7 days, 30 days, 60 days, and 90 days;Severity of BleedingTimepoint: 7 days, 30 days, 60 days, and 90 days;Severity of Itching and DischargeTimepoint: 7 days, 30 days, 60 days, and 90 days

—

Countries

India

Contacts

Public ContactDr Arjun Gupta

Jammu Institute of Ayurveda and Research

dr.arjungupta17@gmail.com9622007600

Outcome results

None listed

Source: CTRI (via WHO ICTRP) · Data processed: Mar 14, 2026