This is the Scientific Surgery Archive, which contains all randomized clinical trials in surgery that have been identified by searching the top 50 English language medical journal issues since January 1998. Compiled by Jonothan J. Earnshaw, former Editor-in-Chief, BJS

Cost-effectiveness of new surgical treatments for hemorrhoidal disease: a multicentre randomized controlled trial comparing transanal Doppler-guided hemorrhoidal artery ligation with mucopexy and circular stapled hemorrhoidopexy. Ann Surg 2016; 264: 710-716.

Published: 20th December 2016

Authors: Lehur PA, Didnée AS, Faucheron J-L, Meurette G, Zerbib P, Siproudhis L et al.

Conclusion

Haemorrhoidal artery ligation took longer (44 versus 30 min, P<0.001) but was less painful and recovery was quicker in this study that included 393 procedures. It was more expensive; total one year costs were 2806 versus 2538 euros for the stapled procedure, and had a higher reoperation rate: 8 versus 4 per cent.

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