title: Hubble trial: time to stick to basics for treatment of haemorrhoids?
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.
authors.affiliation: Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, UK. stevebrown@doctors.org.uk.
authors.forename: S R
authors.initials: SR
authors.lastname: Brown
mesh_terms: D006484:Hemorrhoids / Q000601:surgery*; D006801:Humans; D008026:Ligation; D066231:Surgeons; D016896:Treatment Outcome
keywords: Haemorrhoidal artery ligation; Haemorrhoids; Rubber band ligation