| Methods |
Study design: Random allocation but method not described
Follow‐up: 5 weeks to 5 years |
| Participants |
112 patients with haemorrhoidal disease
Rubber band ligation (Group A): 21 male, mean age of 46+/‐ 15 years, mean duration of symptoms ‐ 54 months, 18 grade III patients and 12 after injection sclerotherapy.
Milligan Morgan haemorrhoidectomy (Group B): 13 male, mean age 49+/‐13 years, duration of symptoms ‐ 60 months, 15 grade III patients and 11 recurrent after injection sclerotherapy.
Other interventions were cryotherapy using nitrous oxide probe and maximal anal dilatation (Lord's method) |
| Interventions |
Group A (n = 30): Out patient procedure. No premedication or anaesthetic, left lateral position, Forceps to grasp and draw the base of haemorrhoidal tissue above dentate line and Barron ligator to apply band. Maximum of 3 band were applied on 3 occasions at 3 weeks interval unless symptom resolved before completion of the course
Group B (n = 26): In‐patient procedure. General or spinal anaesthesia. Haemorrhoidal tissue dissected free of internal sphincter. Pedicle transfixed and excised. Vaseline gauze dressing for the wound |
| Outcomes |
5 week results: Number of patients with post operative pain
Number with significant post operative haemorrhage
Flatus incontinence Long term (Median 1‐2 years) results:
Number required retreatment
Anal stenosis |
| Notes |
Study location: Royal Free Hospital, London, United Kingdom
Patients/Investigators/ ‐Not stated; presumed none Outcome assessors ‐ Independent assessor but not sure about the effectiveness of blinding.
Similarity between groups (baseline) ‐ Yes
Funding source ‐ Peter Samuel fund
Completeness to follow‐up: 28 patients from group A and 26 from group B were followed for more than a year.
Intention to treat analysis: Yes
Exclusion criteria ‐ Described |
