Transanal Haemorrhoidal Dearterialisation Versus Stapler Haemorrhoidopexy

Transanal Haemorrhoidal Dearterialisation Versus Stapler Haemorrhoidopexy. A Randomized Trial With Long-term Follow-up

The aim of the present study was to compare the results of transanal haemorrhoidal dearterialisation and stapler haemorrhopidopexy in the treatment of grade III and IV haemorrhoids with a long-term follow-up.

Inclusion Criteria:

• grade III and IV hemorrhoids requiring hemorrhoidectomy.

Exclusion Criteria:

• first and second degree hemorrhoids
• patients with firm and fibrotic external irreducible haemorrhoids
• thrombosed hemorrhoids; recurrent hemorrhoids after previous surgical treatment
• history of inflammatory bowel disease; history of colon, rectal or anal cancer
• inability to give informed consent
• age < 18 years
• pregnant women.