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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
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
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Hemorrhoidectomy | Active Comparator | Excision of hemorrhoid cushions |
|
| Hemorrhoidal dearterialization | Experimental | Ligation of therminbal branches oh hemorrhoid arteries |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Hemorrhoidectomy | Procedure | Each of the main haemorrhoid is dissected and the apex is ligated and then cut, near to the dentate line |
|
| Measure | Description | Time Frame |
|---|---|---|
| postoperative pain | 1 week |
| Measure | Description | Time Frame |
|---|---|---|
| postoperative morbidity | 30 days | |
| resumption of working activity | 30 days | |
| patient's satisfaction |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Paola De Nardi, MD | San Raffaele Scientific Institute | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| San Raffaele Scientific Institute | Milan | 20132 | Italy |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 24509458 | Derived | De Nardi P, Capretti G, Corsaro A, Staudacher C. A prospective, randomized trial comparing the short- and long-term results of doppler-guided transanal hemorrhoid dearterialization with mucopexy versus excision hemorrhoidectomy for grade III hemorrhoids. Dis Colon Rectum. 2014 Mar;57(3):348-53. doi: 10.1097/DCR.0000000000000085. |
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| ID | Term |
|---|---|
| D061865 | Hemorrhoidectomy |
| ID | Term |
|---|---|
| D013505 | Digestive System Surgical Procedures |
| D013514 | Surgical Procedures, Operative |
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| Hemorrhoidal dearterialization | Procedure | 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 |
|
| 30 days |
| Relapse | 24 months |