Abstract
The results of the Hubble trial, a randomised controlled trial comparing haemorrhoidal artery ligation with rubber band ligation for early-grade prolapsing haemorrhoids, are discussed. The difficulties in defining treatment success are debated along with the trial design highlighting the pitfalls of previous research. A finding that haemorrhoidal artery ligation is not necessarily superior to cheap alternatives has implications for current practice and future commissioning of surgeons.
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Brown, S.R. Hubble trial: time to stick to basics for treatment of haemorrhoids?. Tech Coloproctol 21, 65–67 (2017). https://doi.org/10.1007/s10151-016-1535-2
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DOI: https://doi.org/10.1007/s10151-016-1535-2