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3% polidocanol foam sclerotherapy versus hemorrhoidal artery ligation with recto anal repair in hemorrhoidal disease grades II-III: a randomized, pilot trial

dc.contributor.authorNeves, Sara
dc.contributor.authorFalcao, Daniela
dc.contributor.authorPovo, Ana
dc.contributor.authorCastro-Poças, Fernando
dc.contributor.authorOliveira, Jorge
dc.contributor.authorSalgueiro, Paulo
dc.date.accessioned2024-07-18T15:16:45Z
dc.date.available2024-07-18T15:16:45Z
dc.date.issued2023-03
dc.description.abstractPurpose: Polidocanol foam sclerotherapy (SP) versus doppler-guided hemorrhoidal artery ligation with recto-anal repair (HAL-RAR) in the treatment of hemorrhoidal disease (HD) was analyzed. Methods: A prospective, randomized study including patients with HD grades II and III was performed. Participants were randomly assigned (1:1) into SP or HAL-RAR, during a recruitment period between September 2019 and February 2020. Therapeutic success (Sodergren's and bleeding scores) was the primary outcome. Other outcomes evaluated included complications and implication in the professional life. Efficacy and safety outcomes were evaluated during the 8 weeks after surgery or the final SP session. Results: Forty-six patients were allocated either to SP (n=22) or HAL-RAR (n=24). Most patients achieved therapeutic success (SP 100% vs. HAL-RAR 90.9%, p=0.131). Complete success was higher in the SP group (91.7% vs. 68.2%, p=0.045) and SP patients had less complications (25% vs. 68.2%, p=0.003). HAL-RAR had a greater negative impact on work activity of the patient. Conclusion: SP was more effective and safer than HAL-RAR. SP patients had less impact on their work activity. Clinical trials identifier NCT04675177.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationNeves S, Falcão D, Povo A, Castro-Poças F, Oliveira J, Salgueiro P. 3% polidocanol foam sclerotherapy versus hemorrhoidal artery ligation with recto anal repair in hemorrhoidal disease grades II-III: a randomized, pilot trial. Rev Esp Enferm Dig. 2023;115(3):115-120. doi:10.17235/reed.2022.8568/2022pt_PT
dc.identifier.doi10.17235/reed.2022.8568/2022pt_PT
dc.identifier.issn1130-0108
dc.identifier.urihttp://hdl.handle.net/10400.16/3010
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherAran Edicionespt_PT
dc.relation.publisherversionhttps://doi.org/10.17235/reed.2022.8568/2022pt_PT
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/pt_PT
dc.title3% polidocanol foam sclerotherapy versus hemorrhoidal artery ligation with recto anal repair in hemorrhoidal disease grades II-III: a randomized, pilot trialpt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.conferencePlaceSpainpt_PT
oaire.citation.endPage120pt_PT
oaire.citation.issue3pt_PT
oaire.citation.startPage115pt_PT
oaire.citation.titleRevista Española de Enfermedades Digestivaspt_PT
oaire.citation.volume115pt_PT
person.familyNamePovo
person.familyNameSalgueiro
person.givenNameAna
person.givenNamePaulo
person.identifier.ciencia-idEA11-7FA4-AEA0
person.identifier.ciencia-idD719-60F3-A86D
person.identifier.orcid0000-0003-4060-2084
person.identifier.orcid0000-0002-0314-6772
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT
relation.isAuthorOfPublication6682bc85-cdea-44d1-a2e4-26ddcd5af2b0
relation.isAuthorOfPublication2488c2a6-9e66-49c8-bbc4-6f3e40d0da4f
relation.isAuthorOfPublication.latestForDiscovery6682bc85-cdea-44d1-a2e4-26ddcd5af2b0

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