NCT06884774

Hemorrhoidectomy With or Without Lateral Internal Sphincterotomy in Management of Patients With Hemorrhoids

• Status: Completed
• Phase: N/A
• Study type: Interventional
• Enrollment: 200 (actual)
• Sponsor: Minia University · Academic / Other
• Sex: All
• Age: 18 Years – 70 Years
• Healthy volunteers: Not accepted

Summary

This study aims to compare the lateral internal sphincterotomy versus no lateral internal sphincterotomy during hemorrhoidectomy in the management of patients with hemorrhoids.

Detailed description

Hemorrhoidectomy is associated with postoperative pain, and no single surgical technique has been proven to reduce the pain significantly. However, there are many drawbacks to such techniques, such as postoperative pain and constipation. The cause of this postoperative pain is multifactorial. Spasm of the internal anal sphincter (IAS) is one of the factors which is exposed and impinged after EH. Therefore, Lateral internal sphincterotomy (LIS) is a widely used adjunct treatment after EH, which can abolish spasms of the IAS and subsequently relieve postoperative pain.

Conditions

• Lateral Internal Sphincterotomy
• Hemorrhoidectomy
• Hemorrhoids

Interventions

Type	Name	Description
PROCEDURE	Hemorrhoidectomy with lateral internal sphincterotomy	Patients undergoing Hemorrhoidectomy with lateral internal sphincterotomy.
PROCEDURE	Hemorrhoidectomy	Patients undergoing Hemorrhoidectomy without lateral internal sphincterotomy.

Timeline

• Start date: 2024-12-20
• Primary completion: 2025-09-01
• Completion: 2025-12-01
• First posted: 2025-03-19
• Last updated: 2026-01-13

Locations

1 site across 1 country: Egypt