[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100634059":3},{"organization":4,"armGroups":7,"interventions":14,"overallOfficials":10,"centralContacts":20,"locations":27,"responsibleParty":43,"collaborators":10,"id":47,"slug":48,"hasResults":49,"nctId":50,"briefTitle":51,"officialTitle":52,"acronym":10,"eligibilityCriteria":53,"healthyVolunteers":49,"sex":54,"minAge":55,"maxAge":10,"enrollmentInfo":56,"targetDuration":59,"studyType":60,"phases":10,"briefSummary":61,"conditions":62,"keywords":65,"overallStatus":69,"whyStopped":10,"lastUpdateSubmitDate":70,"lastUpdatePostDateStruct":71,"startDateStruct":74,"completionDateStruct":76,"leadSponsor":78,"locationsCount":79},{"fullName":5,"class":6},"Hospital Son Llatzer","OTHER",[8],{"label":9,"type":10,"description":11,"interventionNames":12},"Grade III \u002F IV hemorrhoids",null,"Patients with symptomatic grade III\u002FIV hemorrhoids who consent to surgical intervention",[13],"Procedure: Minimally Invasive hemorrhoidectomy",[15],{"type":16,"name":17,"description":18,"armGroupLabels":19,"otherNames":10},"PROCEDURE","Minimally Invasive hemorrhoidectomy","The investigators propose applying minimally invasive surgery in closed excisional hemorrhoidectomy (CEH) , the most effective technique for treating advanced hemorrhoidal disease. The investigators believe this approach will reduce postoperative pain and improve recovery while maintaining the excellent outcomes of CEH. The investigator's hypothesis is based on the reduced tissue trauma and increased precision provided by minimally invasive surgery.",[9],[21],{"name":22,"role":23,"phone":24,"phoneExt":25,"email":26},"Ignacio Fernandez-Hurtado, Colorectal Surgeon","CONTACT","+34 871202000","2134","ifernandez@hsll.es",[28],{"facility":5,"status":10,"city":29,"state":30,"zip":31,"country":32,"countryCode":33,"cosmosGeoPoint":34,"geoPoint":39,"contacts":40},"Palma","Balearic Islands","07190","Spain","ES",{"type":35,"coordinates":36},"Point",[37,38],2.65024,39.56939,{"lat":38,"lon":37},[41],{"name":22,"role":23,"phone":42,"phoneExt":25,"email":26},"+34 871 202000",{"type":44,"investigatorFullName":45,"investigatorTitle":46,"investigatorAffiliation":5,"oldNameTitle":10,"oldOrganization":10},"PRINCIPAL_INVESTIGATOR","Ignacio Fernandez Hurtado","MD","100634059","minimaly-ivnasive-surgery-for-grade-iii-hemorrhoids-100634059",false,"NCT07534761","Minimaly Ivnasive Surgery for Grade III Hemorrhoids","Prospective Observational Study to Assess the Reproducibility of Minimally Invasive Surgery in Closed Excisional Hemorrhoidectomy: Phase 2A of theI DEAL Framework","Inclusion Criteria:\n\n* Age over 18 years\n* Grade III\u002FIV hemorrhoids\n* Indication for CEH surgery\n* Signed written informed consent\n\nExclusion Criteria:\n\n* Acute hemorrhoidal disease (thrombosis)\n* Previous hemorrhoid surgery\n* Coexistence of anal fissure\n* Coexistence of perianal fistula\n* Coexistence of rectal or anal prolapse\n* Active inflammatory bowel disease\n* Active anal or colorectal cancer\n* Language barrier or difficulty in oral and\u002For written comprehension","ALL","18 Years",{"count":57,"type":58},50,"ESTIMATED","1 Year","OBSERVATIONAL","Hemorrhoids are vascular-elastic structures of the anal canal that contribute to continence. Their enlargement and descent lead to symptoms such as rectal bleeding and the sensation of anal swelling, known as hemorrhoidal syndrome. In advanced cases (Goligher Grade III-IV), surgery is the only effective treatment. Closed excisional hemorrhoidectomy (CEH), based on the Ferguson technique, is one of the standard procedures. Although effective in the long term, it causes severe postoperative pain. Minimally invasive surgery (MIS) employs enhanced visualization devices to improve surgical precision and reduce tissue damage. While widely used in specialties with small surgical fields, it has not yet been explored in anal surgery. Its advantages include reduced tissue injury and improved healing, although it presents a learning curve and an initially longer surgical time. The IDEAL framework evaluates surgical innovations in five stages: Idea, Development, Exploration, Evaluation, and Long-Term Study. The IDEAL phase 2a is aimed at the optimization and technical definition of surgical innovation with a focus on continuous improvement based on real clinical practice, laying the foundation for broader and more rigorous subsequent studies.\n\nSince no previous studies on the application of MIS in CEH have been found, the investigators propose a study within Stage 2A of the IDEAL model to assess the reproducibility of this technique. The investigators believe its incorporation into closed excisional hemorrhoidectomy could result in less postoperative pain and faster patient recovery.",[63,64],"Hemorrhoidectomy","Minimally Invasive Surgical Technique",[66,63,67,68],"hemorrhoids grade III-IV","IDEAL stage 2A","minimally Invasive Surgical Technique","NOT_YET_RECRUITING","2026-04-16",{"date":72,"type":73},"2026-04-21","ACTUAL",{"date":75,"type":58},"2026-06-01",{"date":77,"type":58},"2027-12-01",{"name":5,"class":6},1]