Ligasure Hemorrhoidectomy Versus Open Hemorrhoidectomy

Launched by HOLBAEK SYGEHUS · Oct 23, 2019

Keywords

ClinConnect Summary

Background

Hemorrhoids is one of the oldest known medical conditions. Description of hemorrhoids is found as early as 2250 Before Christ (BC) in the code of king Hammurabi in Babylon. Even though first recorded treatment is thought to be found in the "Edwin Smith Papyrus" from 1700 BC as of today the treatment of this benign state is still debated. A wide range of prevalence rates of hemorrhoids have been stated in part because of the varying definition ,but the general consensus is that hemorrhoidal disease is a common anorectal disease affecting the quality of life of millions of people ...

Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• • The patient has Grade III-IV haemorrhoids or Grade II haemorrhoids with bleeding resistant to rubber band ligation or sclerotherapy
• • The patient has a Haemorrhoidal Symptom Score of 4 or more
• • The patient has an American Society of Anaesthesiologists (ASA) score I-II
• • The patient's age is 18-85 years at inclusion
• • The patient has had a colonoscopy, sigmoidoscopy or rigid rectoscopy within 3 months before inclusion
• Exclusion Criteria:
• • The patient has had previous operation for haemorrhoids within the last 2 years
• • The patient has had previous operation for anal incontinence
• • The patient has an active anal fistula
• • The patient has an active anal fissure
• • The patient has anal incontinence for solid stools
• • Active immunosuppressive therapy (increased risk of anorectal sepsis)
• • Cirrhosis / portal hypertension
• • Mb Crohn.