Stapled Anopexy Versus Closed Haemorrhoidectomy for Haemorrhoids
NCT ID: NCT00397137
Last Updated: 2019-04-02
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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COMPLETED
NA
182 participants
INTERVENTIONAL
2000-09-30
2003-12-31
Brief Summary
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Detailed Description
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The new technique of stapled anopexy introduced in 1998 uses a radically different approach to treat haemorrhoids. The prolapsed anal cushion is repositioned and fixed without actually excising the haemorrhoidal pedicle thereby avoiding an external wound. This should result in reduction of the postoperative pain and subsequently should improve the recovery time. Further potential advantages of the technique should include a more physiological approach to the treatment of the disease.
Conditions
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
NONE
Study Groups
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Stapled Anopexy
Circular stapled anopexy
Circular stapled anopexy
Patients receiving stapled anopexy to treat haemorrhoids
Conventional Haemorrhoidectomy
Closed diathermy haemorrhoidectomy
Closed diathermy haemorrhoidectomy
Conventional haemorrhoidectomy as described by Ferguson method
Interventions
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Circular stapled anopexy
Patients receiving stapled anopexy to treat haemorrhoids
Closed diathermy haemorrhoidectomy
Conventional haemorrhoidectomy as described by Ferguson method
Eligibility Criteria
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Inclusion Criteria
* symptomatic haemorrhoids (grades 2, 3, 4) needing surgical treatment
Exclusion Criteria
* Active inflammatory bowel disease
* Previous major anorectal surgery
* On anticoagulant medications
* Non-consenting patients
* Unwilling for randomisation
16 Years
ALL
No
Sponsors
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Ethicon Endo-Surgery
INDUSTRY
Chief Scientist Office of the Scottish Government
OTHER_GOV
University of Dundee
OTHER
Responsible Party
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Principal Investigators
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Robert JC Steele, MD
Role: PRINCIPAL_INVESTIGATOR
University of Dundee
Mohamed A Thaha, MRCS
Role: PRINCIPAL_INVESTIGATOR
University of Dundee
Locations
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Ninewells Hospital & Medical School
Dundee, Scotland, United Kingdom
Countries
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References
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Thaha MA, Irvine LA, Steele RJ, Campbell KL. Postdefaecation pain syndrome after circular stapled anopexy is abolished by oral nifedipine. Br J Surg. 2005 Feb;92(2):208-10. doi: 10.1002/bjs.4773.
Thaha MA, Campbell KL, Kazmi SA, Irvine LA, Khalil A, Binnie NR, Hendry WS, Walker A, Staines HJ, Steele RJ. Prospective randomised multi-centre trial comparing the clinical efficacy, safety and patient acceptability of circular stapled anopexy with closed diathermy haemorrhoidectomy. Gut. 2009 May;58(5):668-78. doi: 10.1136/gut.2008.151266. Epub 2008 Dec 17.
Other Identifiers
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202/99
Identifier Type: -
Identifier Source: org_study_id
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