A pragmatic multicentre randomised controlled trial comparing stapled haemorrhoidopexy with traditional excisional surgery for haemorrhoidal disease: the eTHoS study

Watson, Angus JM; Cook, Jonathan; Hudson, Jemma; Kilonzo, Mary; Wood, Jessica; Bruhn, Hanne; Brown, Steven; Buckley, Brian; Curran, Finlay; Jayne, David; Loudon, Malcolm; Rajagopal, Ramesh; McDonald, Alison; Norrie, John

doi:10.3310/hta21700

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Traditional haemorrhoidectomy was more clinically effective than stapled haemorrhoidopexy, although more painful in the short term.

Angus JM Watson , Jonathan Cook , Jemma Hudson , Mary Kilonzo , Jessica Wood , Hanne Bruhn , Steven Brown , Brian Buckley , Finlay Curran , David Jayne , Malcolm Loudon, Ramesh Rajagopal , Alison McDonald & John Norrie.

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Angus JM Watson ^1,^*, Jonathan Cook ², Jemma Hudson ³, Mary Kilonzo ⁴, Jessica Wood ^3,⁵, Hanne Bruhn ³, Steven Brown ⁶, Brian Buckley ⁷, Finlay Curran ⁸, David Jayne ⁹, Malcolm Loudon ¹⁰, Ramesh Rajagopal ¹¹, Alison McDonald ^3,⁵, John Norrie ^3,⁵

¹ NHS Highland, Department of Surgery, Raigmore Hospital, Inverness, UK
² Oxford Clinical Trials Research Unit, University of Oxford, Oxford, UK
³ Health Services Research Unit, University of Aberdeen, Aberdeen, UK
⁴ Health Economics Research Unit, University of Aberdeen, Aberdeen, UK
⁵ Centre for Healthcare Randomised Trials, Health Services Research Unit, University of Aberdeen, Aberdeen, UK
⁶ Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, UK
⁷ Department of Surgery, University of the Philippines Manila, Manila, the Philippines
⁸ Central Manchester University Hospitals NHS Foundation Trust, Manchester, UK
⁹ Leeds Teaching Hospitals NHS Trust, Leeds, UK
¹⁰ NHS Highland, Department of Surgery, Belford Hospital, Fort William, UK
¹¹ Glan Clwyd Hospital, Betsi Cadwaladr University Health Board, North Wales, UK
^* Corresponding author Email: angus.watson@nhs.net

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