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TerminatedNCT01422473Updated Jun 5, 2013

Comparison Study of Hemorrhoid Surgery Using the Enseal Device to Standard Hemorrhoid Surgical Techniques

An interventional study of EnSeal Trio Tissue Sealing Device in Hemorrhoids, sponsored by Swedish Medical Center. Terminated at 1 site in United States. Open to participants aged 18 Years to 80 Years. Per ClinicalTrials.gov, last updated 2013-06-05.

Sponsored by Swedish Medical Center · Not applicable, Interventional, and Treatment

Why this study was terminated
Terminated due to poor accrual.
Phase
Not applicable
Study type
Interventional
Enrollment
9
Allocation
Not applicable
Ages
18 Years to 80 Years
Sex
All
01

Study summary

The purpose of this study is to examine the advantages and disadvantages of using the EnSeal device in hemorrhoid surgery as compared to traditional hemorrhoid surgery techniques.

It is hypothesized that the use of the Enseal device will demonstrate an improvement a patient's overall experience through less postoperative bleeding and pain, decreased time for wound healing, and a faster return to work.

Read the detailed description

The EnSeal Device is FDA approved for surgery in ligating and dividing vascular tissue during abdominal surgery. Electrical energy is converted into heat energy and resultant simultaneous division of tissues. This allows surgery to be bloodless and sutureless. It has been successfully used by many individual practitioners for hemorrhoidectomy, with apparent advantage and success; but to date, no comparative study has been done to assess the advantages and disadvantages of this method of hemorrhoidectomy, when compared to traditional excisional techniques. The investigators propose to use this device in the current study in the treatment of hemorrhoidal disease where vascular tissue is excised in bloodless and sutureless fashion. It is currently being used in institutions throughout the United States and Europe.

After surgery, patients will receive the same standard postoperative instructions as for conventional hemorrhoidectomy, which include wound care, pain medicine, and other standard instructions. The patient will be followed in the office with visits at 3 to 4weeks, and 3 months postoperatively.

At these visits, they will be assessed for postoperative complications including but not limited to: bleeding, urinary retention, fecal impaction, hospital re-admission and pain. Delayed complications -greater than four weeks- will be followed including impaired healing, constipation, abscess, fistula formation, fissure, and stenosis. The patient's pain score and type and amount of pain medications taken will be recorded by the patient daily for the first 2 weeks then weekly for a month postoperatively. This will be assessed using a pain diary which includes a visual analog pain scale (allowing the patient to describe their pain level on a scale between 1 and 10) and space to note the quantity of pain medications used. During each office visit, the operating surgeon will evaluate the patient.

02

Conditions studied

  • Hemorrhoids

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Keywords

  • Hemorrhoids
  • Rectal Diseases
  • Intestinal Diseases
  • Gastrointestinal Diseases
  • Digestive System Diseases
03

In context

Hemorrhoids

221 studies on the registry are indexed under Hemorrhoids; 64 are open to participants now.

This study's enrollment of 9 is below the median of 97 across 169 interventional studies indexed under Hemorrhoids.

Browse Hemorrhoids studies →

Lead sponsor

Swedish Medical Center is the lead sponsor of 40 studies on the registry; 5 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 80 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Men and women between ages 18 through 80
  • American Society of Anesthesiologists (ASA) level I, II and III
  • External hemorrhoids must be present and deemed sufficiently symptomatic to warrant removal
  • Internal hemorrhoids at least Grade II
  • Must be able to be seen post-operatively by the surgeon at 3 to 4 weeks and 3 months after surgery

Exclusion criteria

Exclusion Criteria:

  • American Society of Anesthesiologists (ASA) level IV
  • Grade I internal hemorrhoids
  • Currently receiving coumadin, plavix, or other anticoagulants
  • No prior sphincterotomy, drainage of abscess, fistulotomy, or similar procedures
  • No pregnant women at the time of surgery
  • No lactating women
  • No inflammatory bowel disease
  • No history of chronic, active hepatitis B, C, or HIV infection
  • No prior chronic narcotic use (more than 30 days)
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
9 participants (actual)

Study arms

  • Experimental
    EnSeal Device

    EnSeal Trio Tissue Sealing Device

    Device: EnSeal Trio Tissue Sealing Device

Interventions

  • DeviceEnSeal Trio Tissue Sealing Device

    For surgery in ligating and dividing vascular tissue during abdominal surgery.

06

What researchers measure

Primary outcomes

  1. Post-operative complications

    Patients will be assess for postoperative complications including but not limited to: bleeding, urinary retention, fecal impaction, hospital re-admission and pain.

    Time frame: 3 to 4 weeks

Secondary outcomes

  1. Delayed Post-Operative Complications

    Delayed complications (greater than 4 weeks) will be followed including impaired healing, constipation, abscess, fistula formation, fissure, and stenosis.

    Time frame: 3 months

  2. Post-Operative Pain

    The patient's pain score and type and amount of pain medications taken will be recorded by the patient daily for the first 2 weeks then weekly for a month postoperatively.

    Time frame: 1 month

07

Study locations

1 site
  • Swedish Medical Center Colon Rectal Clinic
    Seattle, Washington 98104, United States
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jun 5, 2013, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT01422473
Lead sponsor
Swedish Medical Center
Responsible party
Sponsor
First posted
Aug 24, 2011
Start date
Aug 2011
Primary completion
Jan 2013
Completion
Jan 2013
Last update
Jun 5, 2013

Study contacts

Richard Billingham, MD
principal investigator · Swedish Medical Center

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is terminated, as verified in Jun 2013. You cannot join it, but the record below documents what was studied.

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