Minimally Invasive Closed Hemorrhoidectomy for Grade III Hemorrhoids
Official title: Prospective Observational Study to Assess the Reproducibility of Ferguson's Minimally Invasive Hemorrhoidectomy in the Treatment of Grade III Hemorrhoids: Phase 2a of the IDEAL Framework
Run by Hospital Son Llatzer · NCT07695649 · Data updated 2026-11-12
This study tests a minimally invasive, closed hemorrhoidectomy approach for adults with Grade III hemorrhoids to see if it offers good outcomes with less pain and quicker healing.
Quick facts
| Study type | Observational |
|---|---|
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 50 (estimated) |
| Sponsor | Hospital Son Llatzer Academic / other |
| Locations | 1 site (Palma de Mallorca) |
| Status | Recruiting |
| Started | June 15, 2026 |
| Main results expected | December 31, 2026 |
| Study ends | December 31, 2026 |
| Registry record updated | July 10, 2026 |
| Trial ID | NCT07695649 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults over 18 with grade III–IV hemorrhoids indicated for excisional hemorrhoidectomy who can provide informed consent.
✕Probably not a fit
Patients with acute hemorrhoidal disease, prior hemorrhoid surgery, coexisting anorectal conditions, active inflammatory bowel disease, or language barriers may not benefit or be eligible.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This observational study examines a minimally invasive closed hemorrhoidectomy performed for grade III–IV hemorrhoids. It compares the MIS approach using enhanced visualization and tissue-sparing techniques to traditional methods, focusing on safety and short- to mid-term recovery. Eligible adults undergoing excisional hemorrhoidectomy at Hospital Son Llatzer are enrolled with informed consent. Data on perioperative results, pain, wound healing, and complications will be collected and analyzed. The goal is to understand feasibility, tolerability, and potential benefits of MIS in this surgical context.
Why it matters
Potential benefit: If successful, patients may experience less postoperative pain and faster healing after hemorrhoidectomy.
How similar studies have gone: Previous studies suggest Ferguson-type techniques can reduce early pain and improve healing compared with some traditional methods; MIS approaches are promising but require further validation.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Age over 18 years * Grade III-IV hemorrhoids * Indication for excisional hemorrhoidectomy surgery * Signed written informed consent Exclusion Criteria: * Acute hemorrhoidal disease (thrombosis) * Previous hemorrhoid surgery * Coexistence of anal fissure * Coexistence of perianal fistula * Coexistence of rectal or anal prolapse * Active inflammatory bowel disease * Active anal or colorectal cancer * Language barrier or difficulty in oral and/or written comprehension
Where it's running
-
Hospital Son Llatzer
Palma de Mallorca, Spain Recruiting
Study contacts
- Principal investigator: Ignacio Fernandez-Hurtado, MD — Hospital Son Llatzer
- Study coordinator: Ignacio Fernandez_Hurtado, MD
- Email: ifernandez@hsll.es
- Phone: +34871202000
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.