Third Degree Hemorrhoids
Conditions
Keywords
Hemorrhoidectomy, haemorrhoidal dearterialisation, anopexy
Brief summary
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
Detailed 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
Interventions
PROCEDUREHemorrhoidectomy
Each of the main haemorrhoid is dissected and the apex is ligated and then cut, near to the dentate line
PROCEDUREHemorrhoidal dearterialization
A special instrument (THD, G.F., Medical Division, Correggio, Italy )with an incorporated Doppler probe is used to detected the six terminal branches of the superior rectal artery which are ligated above the dentate line, then a running suture is performed in order to obtain a mucopexy
Sponsors
Scientific Institute San Raffaele
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to 80 Years
Healthy volunteers
No
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
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| postoperative pain | 1 week |
Secondary
| Measure | Time frame |
|---|---|
| postoperative morbidity | 30 days |
| resumption of working activity | 30 days |
| patient's satisfaction | 30 days |
| Relapse | 24 months |
Countries
Italy
Outcome results
None listed