Minimal Open Hemorrhoidectomy Versus Transanal Hemorrhoidal Dearterialization: The Effect on Symptoms: An Open-Label Randomized Controlled Trial
BACKGROUND:
There is limited evidence on the long-term efficacy of transanal hemorrhoidal dearterialization compared with hemorrhoidectomy. Most studies investigated short-term effects with postoperative pain as the primary outcome. Being a benign disease, the long-term goal of treatment for hemorrhoids is the resolution of symptoms and improvement of quality of life.
OBJECTIVE:
The purpose of this study was to compare the effect of minimal open hemorrhoidectomy versus transanal hemorrhoidal dearterialization on patient-reported symptoms.
DESIGN:
This was an open-label randomized controlled trial.
SETTINGS:
This was a single-center study.
PATIENTS:
Patients with symptomatic hemorrhoids grade II to IV (Goligher’s classification) were included.
INTERVENTIONS:
Patients were randomly allocated to minimal open hemorrhoidectomy or transanal hemorrhoidal dearterialization.
MAIN OUTCOME MEASURES:
The primary outcome was symptoms assessed by the Hemorrhoidal Disease Symptom Score 1 year postoperatively. Secondary outcomes included health-related quality of life, patient satisfaction, postoperative pain and recovery, adverse events, recurrence, and hospital costs.
RESULTS:
Forty-eight patients received minimal open hemorrhoidectomy, and 50 patients received transanal hemorrhoidal dearterialization. No difference in symptom score at 1-year follow-up was found. Median (range) symptom score was 3 (0–17) after minimal open hemorrhoidectomy and 5 (0–17) after tr...
Source: Diseases of the Colon and Rectum - Category: Gastroenterology Tags: Original Contributions: Anorectal Source Type: research