Open excisional hemorrhoidectomy (OEH) is superior to transanal hemorrhoidal dearterialization (THD) for grade III hemorrhoids despite more postoperative pain.
- Clinical failure rate was 8% with OEH vs. 61% with THD (p < 0.001).
- All reoperations (8) occurred in the THD group (p = 0.001).
Surgeons should weigh the higher pain and longer recovery of OEH against THD’s significantly worse outcomes.
- Both treatments improved symptoms and quality of life, but OEH resulted in longer median return-to-work time (21 vs. 14 days; p = 0.010).
Comparative Study by Fernandez-Hurtado I, Pages-Valle N (…) Serra-Aracil X et 4 al. in Br J Surg
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