Piles
Conditions
Brief summary
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.
Interventions
DEVICELigaSure Hemorroidectomy
Hemorroidectomy was done using the LigaSure Vessel Sealing System (LVSS)®
DEVICEStapled Hemorrhoidopexy
Hemorrhoidectomy was done using the PPH stapler.
PROCEDURETraditional hemorroidectomy
Hemorrhoidectomy was done using the Milligan-Morgan technique
Sponsors
Theodor Bilharz Research Institute
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Subject)
Eligibility
Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
No
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.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| 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," | 1.5 years | 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. |
Countries
Egypt
Outcome results
None listed