|
|
|
|
| LEADER |
02389nam a2200217Ia 4500 |
| 001 |
10.1186-s12893-022-01594-z |
| 008 |
220510s2022 CNT 000 0 und d |
| 020 |
|
|
|a 14712482 (ISSN)
|
| 245 |
1 |
0 |
|a Comparison of post-operative bleeding incidence in laser hemorrhoidoplasty with and without hemorrhoidal artery ligation: a double-blinded randomized controlled trial
|
| 260 |
|
0 |
|b BioMed Central Ltd
|c 2022
|
| 856 |
|
|
|z View Fulltext in Publisher
|u https://doi.org/10.1186/s12893-022-01594-z
|
| 520 |
3 |
|
|a Introduction: The effectiveness of hemorrhoidal artery ligation supplementation in reducing the incidence of post laser hemorrhoidoplasty bleeding has not been investigated. Methods: This was a double-blind, randomized controlled trial comparing post-operative bleeding incidence in patients undergoing laser hemorrhoidoplasty (LHP) only versus LHP with hemorrhoidal artery ligation (HAL). Outcome measures included post-operative bleeding and its severity (i.e. verbal rating scale and Clavien-Dindo classification), presence of perianal swelling and pain score (visual analog score) at 1-day, 1-week and 6-weeks post-operatively. Statistical tests were performed and a value of P < 0.05 was considered significant. Results: Seventy-six patients were randomized. There was no difference in median operating time. The bleeding incidence was highest at 1-week post-operatively (17.1%), and decreased to 1.3% at 6-weeks. There was no significant difference in bleeding incidence between both groups at any of the measured timepoints (P > 0.05). Severity of bleeding and incidence of post-operative perianal swelling were similar in both groups (P > 0.05). There was no difference in median pain scores. Conclusion: Supplementation of HAL to LHP does not reduce the post-operative bleeding incidence. LHP is sufficient as a stand-alone procedure for treating haemorrhoids. Trial registration: National Registration Number is NMRR-15-1112-24065 (IIR). The trial start date was 1st January 2015 with the ClinicalTrials.gov identifier and registration number as NCT04667169. © 2022, The Author(s).
|
| 650 |
0 |
4 |
|a Colorectal surgery
|
| 650 |
0 |
4 |
|a Hemorrhoidal artery ligation
|
| 650 |
0 |
4 |
|a Hemorrhoidectomy
|
| 650 |
0 |
4 |
|a Hemorrhoids
|
| 650 |
0 |
4 |
|a Laser hemorrhoidoplasty
|
| 700 |
1 |
|
|a Lim, S.Y.
|e author
|
| 700 |
1 |
|
|a Rajandram, R.
|e author
|
| 700 |
1 |
|
|a Roslani, A.C.
|e author
|
| 773 |
|
|
|t BMC Surgery
|
