[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-studies-list:{\"conditionNormalized\":\"hemorrhoids-third-degree\",\"overallStatus\":[\"RECRUITING\",\"AVAILABLE\",\"NOT_YET_RECRUITING\"],\"orderBy\":\"LastUpdateSubmitDate:desc\",\"size\":25,\"offset\":0}":3,"health-study-condition:hemorrhoids-third-degree":29},{"pageToken":4,"total":5,"offset":6,"count":5,"results":7},null,2,0,[8,47],{"id":9,"slug":10,"hasResults":11,"nctId":12,"briefTitle":13,"officialTitle":14,"acronym":15,"eligibilityCriteria":16,"healthyVolunteers":11,"sex":17,"minAge":18,"maxAge":19,"enrollmentInfo":20,"targetDuration":4,"studyType":23,"phases":24,"briefSummary":26,"conditions":27,"keywords":30,"overallStatus":34,"whyStopped":4,"lastUpdateSubmitDate":35,"lastUpdatePostDateStruct":36,"startDateStruct":39,"completionDateStruct":41,"leadSponsor":43,"locationsCount":46},"100619887","pushes-pudendal-block-versus-sacral-esp-hemorrhoidectomy-study-100619887",false,"NCT07350460","PUSHES (Pudendal Block Versus Sacral ESP Hemorrhoidectomy Study)","A Randomized, Double-Blind Trial Comparing Pudendal Block Versus Sacral ESP for Ambulatory Hemorrhoidectomy","PUSHES","Inclusion Criteria:\n\n* Adults (≥18 years old) scheduled for elective excisional hemorrhoidectomy;\n* Ability to understand the nature of the study and provide written informed consent;\n* American Society of Anesthesiologists (ASA) physical status I-III;\n* Ability to comply with study procedures and postoperative evaluations.\n\nExclusion Criteria:\n\n* Pregnancy;\n* Body weight under 50 kg due to the potential risk of local anaesthetic systemic toxicity (LAST);\n* BMI \\> 40; Known allergy or contraindication to local anaesthetics (e.g., ropivacaine, prilocaine);\n* Severe coagulation disorders or current anticoagulant therapy contraindicating spinal or peripheral deep nerve blocks (like pudendal block, because Sacral ESP is considered a superficial block);\n* Infection at the puncture site;\n* Neurological disorders affecting the sacral or pudendal nerve pathways;\n* Severe psychiatric conditions impairing study participation;\n* Language barriers","ALL","18 Years","80 Years",{"count":21,"type":22},64,"ESTIMATED","INTERVENTIONAL",[25],"NA","The goal of this clinical trial is to learn if the sacral erector spinae plane block can provide equal or better pain control than the pudendal nerve block in adults undergoing hemorrhoid surgery. The main question is: Which block offers more effective analgesia and faster recovery?",[28,29],"Hemorrhoids","Hemorrhoids Third Degree",[28,31,32,33],"Hemorrhoidectomy","Postoperative Pain","Pain Measurement","RECRUITING","2026-03-16",{"date":37,"type":38},"2026-03-18","ACTUAL",{"date":40,"type":38},"2026-01-05",{"date":42,"type":22},"2027-09-30",{"name":44,"class":45},"Andrea Saporito","OTHER",1,{"id":48,"slug":49,"hasResults":11,"nctId":50,"briefTitle":51,"officialTitle":52,"acronym":53,"eligibilityCriteria":54,"healthyVolunteers":11,"sex":17,"minAge":18,"maxAge":55,"enrollmentInfo":56,"targetDuration":4,"studyType":23,"phases":58,"briefSummary":59,"conditions":60,"keywords":63,"overallStatus":67,"whyStopped":4,"lastUpdateSubmitDate":68,"lastUpdatePostDateStruct":69,"startDateStruct":71,"completionDateStruct":73,"leadSponsor":75,"locationsCount":46},"100618547","helo-trial-energy-based-therapies-vs-conventional-hemorrhoidectomy-for-grade-iii-hemorrhoids-100618547","NCT07333040","HELO Trial: Energy-Based Therapies vs. Conventional Hemorrhoidectomy for Grade III Hemorrhoids","Hemorrhoidectomy, Energy-Based, and Laser Outcomes in Grade III Hemorrhoids: A Prospective, Multicenter, Preference-Based Comparative Study","HELO","Inclusion Criteria:\n\n* Diagnosed with Goligher Grade III internal hemorrhoids.\n* Symptomatic with HDSS score \\>= 5.\n* Age 18-75 years.\n* Fit for general anesthesia or sedation.\n* Able to provide informed consent.\n* Agree to pre-operative photo documentation.\n\nExclusion Criteria:\n\n* Other anorectal diseases (fistula, abscess, IBD, malignancy).\n* Prior anorectal surgery within 6 months.\n* Pregnancy or lactation.\n* Contraindications to anesthesia.","75 Years",{"count":57,"type":22},60,[25],"This prospective, multicenter study compares the efficacy and functional outcomes of three surgical treatments for symptomatic Goligher Grade III internal hemorrhoids: Laser Hemorrhoidoplasty (LHP), Hemorrhoid Energy Therapy (HET), and conventional closed hemorrhoidectomy (Ferguson technique). Due to strong patient preferences in hemorrhoidal surgery, this study utilizes a pragmatic, preference-tolerant design. Eligible patients will undergo standardized counseling and select their preferred treatment arm. The study aims to evaluate whether minimally invasive energy-based therapies offer superior postoperative pain relief and faster functional recovery compared to conventional hemorrhoidectomy",[29,61,62],"Internal Hemorrhoids","Mixed Hemorrhoids",[64,65,32,66,31],"Laser Hemorrhoidoplasty","Hemorrhoid Energy Therapy","Minimally Invasive Surgery","NOT_YET_RECRUITING","2026-01-01",{"date":70,"type":38},"2026-01-12",{"date":72,"type":22},"2026-03-01",{"date":74,"type":22},"2028-03-01",{"name":76,"class":45},"Chang Gung Memorial Hospital"]