Hemorrhoids Clinical Trial
Official title:
Trans-anal Hemorrhoidal Dearterialization (THD) vs. Hemorrhoidectomy for 3rd and 4th Degree Hemorrhoids in at Least Three Quadrants: A Prospective Randomized Control Pilot Study.
The purpose of this study is to compare the frequency and severity of postoperative( after surgery) pain between two surgical techniques for treating severe hemorrhoids. The two techniques are called: transanal hemorrhoidal dearterialization (THD) and standard surgical excision (removal) of the hemorrhoids
The THD technique involves using ultrasound equipment to identify the arteries that are
feeding blood into the hemorrhoids. Once located, stitches are placed around those arteries
to cut off the blood supply to the hemorrhoids, which destroys them.
In the standard surgical excision technique, the hemorrhoids are removed by cutting them out
with a scalpel.
Both techniques are widely used in many hospitals today. However, there have been no formal
studies comparing the two techniques regarding outcomes, particularly regarding pain after
the procedure. We plan to enroll 60 patients in this study here at Stony Brook; 30 patients
will have THD and 30 will have the standard surgical excision of hemorrhoids.
;
Allocation: Randomized, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Treatment
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