Hemorrhoids Clinical Trial
Official title:
Multi-center, Non-randomized Prospective Observation Study Comparing Ferguson Hemorrhoidectomy and Transanal Hemorrhoidal Dearterialization (THD) for Prolapsed, Nonincarcerated, Reducible Hemorrhoids in Terms of 1-year Recurrence
This study will compare Ferguson hemorrhoidectomy and THD in terms of one-year recurrence in a large population (N=492). Recurrence is defined as prolapsing internal hemorrhoids at physical examination performed by a colorectal surgeon.
This is a multicenter, parallel arm, non-randomized prospective data collection trial
comparing Ferguson hemorrhoidectomy and THD in terms of recurrence rates at one-year. All
subjects will already be scheduled for either Ferguson or THD hemorrhoidectomy, the surgery
is NOT part of the research. Although a randomized study would control for variation among
surgeons, this study design provides the best patient safety since the surgeons will perform
the technique they do most frequently. Variability in the patient population will be managed
with a conservative sample size, which allows for a multivariate analysis of the sample
populations if any confounding variables are noted during initial data analyses. In addition,
the variability will be minimized with stringent and detailed inclusion/exclusion criteria in
terms of hemorrhoidal disease. Patients will be enrolled and followed for one year.
Participating surgeons will be credentialed and each participating surgeon will enroll up to
ten consecutive patients.
The primary endpoint of this study is to compare Ferguson hemorrhoidectomy and THD in terms
of recurrence rates at one-year. Recurrence is defined as prolapsing internal hemorrhoids at
physical examination performed by a colorectal surgeon.
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