Evidence map›Paper›PMID 31912268›Full record

Trial reportInternational journal of colorectal disease2020

Results of the double-blind randomized controlled trial comparing laser hemorrhoidoplasty with sutured mucopexy and excisional hemorrhoidectomy.

Tomas Poskus, Donatas Danys, Gabija Makunaite, Antanas Mainelis, Saulius Mikalauskas, Eligijus Poskus, Valdemaras Jotautas, Audrius Dulskas, Eugenijus Jasiunas, Kestutis Strupas

Open access · hybridAbstract readComparative StudyRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in International journal of colorectal disease, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed, 8 pooled it
9.8field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

36 citing papers in PubMed, 8 syntheses or guidelines pooled it, 75 citations in OpenAlex.

  1. Guideline
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Pooled it
  6. Pooled it
  7. Pooled it
  8. Pooled it
  9. Trial
  10. Trial
  11. Trial
  12. Trial
  13. Article
  14. Observational
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 3 institutions in 1 country.

Tomas PoskusFaculty of Medicine, Vilnius University, Vilnius, Lithuania. toshcus@yahoo.com.ORCID http://orcid.org/0000-0002-6931-6041
Donatas DanysFaculty of Medicine, Vilnius University, Vilnius, Lithuania.ORCID http://orcid.org/0000-0002-4811-2648
Gabija MakunaiteFaculty of Medicine, Vilnius University, Vilnius, Lithuania.ORCID http://orcid.org/0000-0003-2020-3836
Antanas MainelisCenter of Abdominal Surgery, Vilnius University Hospital Santara Clinics, Santariskiu Street, LT-08661, Vilnius, Lithuania.ORCID http://orcid.org/0000-0002-0003-5081
Saulius MikalauskasFaculty of Medicine, Vilnius University, Vilnius, Lithuania.ORCID http://orcid.org/0000-0002-5191-1491
Eligijus PoskusFaculty of Medicine, Vilnius University, Vilnius, Lithuania.ORCID http://orcid.org/0000-0001-6722-9094
Valdemaras JotautasFaculty of Medicine, Vilnius University, Vilnius, Lithuania.ORCID http://orcid.org/0000-0001-5420-1914
Audrius DulskasNational Cancer Institute, Vilnius, Lithuania.ORCID http://orcid.org/0000-0003-3692-8962
Eugenijus JasiunasCenter of Abdominal Surgery, Vilnius University Hospital Santara Clinics, Santariskiu Street, LT-08661, Vilnius, Lithuania.ORCID http://orcid.org/0000-0002-3582-5841
Kestutis StrupasFaculty of Medicine, Vilnius University, Vilnius, Lithuania.ORCID http://orcid.org/0000-0002-1690-937X
Vilnius University · LTNational Cancer Institute · LTVilnius University Hospital Santariskiu Klinikos · LT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo compare the results of laser hemorrhoidoplasty (LHP), excisional hemorrhoidectomy (EH), and sutured mucopexy (MP).

methodsA randomized, parallel-group, double-blinded, single-center prospective study. PATIENTS: Symptomatic 2nd- or 3rd-degree hemorrhoids patients.

interventionsComputer randomization sequence, patient blinding, operating surgeon blinding, and surgeon-evaluator blinding. LHP was performed using a 1470 nm diode laser. Up to 250 J of energy delivered per 1 hemorrhoid. The procedure was performed circumferentially. MP ligations were placed in the area of visible hemorrhoidal tissue. Standard EH was performed up to the level of the hemorrhoidal pedicle. Follow-up at 1 and 6 weeks and 1 year. OUTCOME MEASURES: Recurrence of symptoms requiring treatment, intensity, and duration of pain after the operation, patients' quality of life, fecal incontinence, and patients' evaluation of treatment.

resultsA total of 121 patients. Groups were even preoperatively. LHP took 15 min (SD 5.6), MP took 16 min (SD 5.58), and EH took 29 min (SD 10.3). Recurrence requiring treatment rate was 0% after EH, 10% after LHP, and 22% after MP, p = 0.004. LHP and MP were less painful than EH, p < 0.001. Patients after LHP returned to regular activity after 15 days, after MP after 22 days, and after EH after 30 days, p < 0.001. SF-36 scores were better after EH. Symptoms of fecal incontinence improved in all the groups. Patients evaluate LHP better than EH and MP. LIMITATIONS: Single-center study.

conclusionsLaser hemorrhoidoplasty is a safe, minimally invasive option for hemorrhoids, more effective than MP and less effective than EH. Patients evaluate this technique better than the other two.

Indexed as

HemorrhoidectomyLasersSuturesDouble-Blind MethodFemaleHemorrhoidsHumansMaleMiddle AgedOperative TimePain MeasurementTreatment OutcomeHemorrhoidectomyHemorrhoidsIntrahemorrhoidal laserLaser hemorrhoidoplastySutured mucopexyTHD

Identifiers

PMID31912268
OpenAlexW2999233139

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.