Erschienen in:
03.10.2016 | Controversies in Colorectal Surgery
Hubble trial: time to stick to basics for treatment of haemorrhoids?
verfasst von:
S. R. Brown
Erschienen in:
Techniques in Coloproctology
|
Ausgabe 1/2017
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Abstract
The results of the Hubble trial, a randomised controlled trial comparing haemorrhoidal artery ligation with rubber band ligation for early-grade prolapsing haemorrhoids, are discussed. The difficulties in defining treatment success are debated along with the trial design highlighting the pitfalls of previous research. A finding that haemorrhoidal artery ligation is not necessarily superior to cheap alternatives has implications for current practice and future commissioning of surgeons.