Tamponade dressing versus no dressing after haemorrhoidectomy: multicentre, randomized clinical trial.

ABSTRACT:

Background

Symptomatic haemorrhoids are a common anorectal disorder. The aim of the study was to investigate whether the omission of tamponade dressings after haemorrhoidectomy reduces postoperative pain without increasing the risk of severe bleeding.

Method

This was an open-label, randomized clinical trial conducted at 14 German hospitals. All patients with third- or fourth-degree haemorrhoids undergoing haemorrhoidectomy were considered eligible for selection in the intervention (no dressing) or control group (tamponade applied). Two co-primary outcomes were analysed by testing hierarchically ordered hypotheses. First, maximum pain intensity within 48 h after surgery was compared between the groups (superiority). This was followed by an analysis of severe bleeding complica

SUBMITTER: Langenbach MR 

PROVIDER: S-EPMC9154318 | biostudies-literature | 2022 May

REPOSITORIES: biostudies-literature