Stapled Anopexy Versus Closed Haemorrhoidectomy for Haemorrhoids

NCT ID: NCT00397137

Last Updated: 2019-04-02

Study Results

Results pending

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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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

182 participants

Study Classification

INTERVENTIONAL

Study Start Date

2000-09-30

Study Completion Date

2003-12-31

Brief Summary

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The aim of this study is to determine the role of stapled anopexy in the treatment of haemorrhoids by comparing it to the current gold standard treatment, which is excisional haemorrhoidectomy.

Detailed Description

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The current gold standard treatment of haemorrhoids namely, excisional haemorrhoidectomy is associated with severe postoperative pain and prolonged recovery period. Methods aiming at improving the outcome of excisional surgery included mainly modifications of the existing technique. Alternative instruments other than scissors have been used for the actual excision of haemorrhoids with a view to reducing the postoperative pain. However, with the wound in the sensitive anoderm following excisional haemorrhoidectomy, pain continues to be a major problem irrespective of the method of excision or of the instrument employed.

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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Hemorrhoids

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Stapled Anopexy

Circular stapled anopexy

Group Type EXPERIMENTAL

Circular stapled anopexy

Intervention Type PROCEDURE

Patients receiving stapled anopexy to treat haemorrhoids

Conventional Haemorrhoidectomy

Closed diathermy haemorrhoidectomy

Group Type ACTIVE_COMPARATOR

Closed diathermy haemorrhoidectomy

Intervention Type PROCEDURE

Conventional haemorrhoidectomy as described by Ferguson method

Interventions

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Circular stapled anopexy

Patients receiving stapled anopexy to treat haemorrhoids

Intervention Type PROCEDURE

Closed diathermy haemorrhoidectomy

Conventional haemorrhoidectomy as described by Ferguson method

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* Adult human subjects (age \>=16 years) with symptomatic haemorrhoids (Primary or recurrent)
* symptomatic haemorrhoids (grades 2, 3, 4) needing surgical treatment

Exclusion Criteria

* concurrent untreated or recurrent colorectal cancer
* Active inflammatory bowel disease
* Previous major anorectal surgery
* On anticoagulant medications
* Non-consenting patients
* Unwilling for randomisation
Minimum Eligible Age

16 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Ethicon Endo-Surgery

INDUSTRY

Sponsor Role collaborator

Chief Scientist Office of the Scottish Government

OTHER_GOV

Sponsor Role collaborator

University of Dundee

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

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

Site Status

Countries

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United Kingdom

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.

Reference Type RESULT
PMID: 15584064 (View on PubMed)

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.

Reference Type RESULT
PMID: 19091821 (View on PubMed)

Other Identifiers

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202/99

Identifier Type: -

Identifier Source: org_study_id

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