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Who is eligible to take part in the trial?
Inclusion criteria
Patients aged 18 or over with symptomatic grade II or grade III haemorrhoids
And patients that have failed conservative managements (diet and lifestyle changes) and want further intervention
And/or patients who have either failed one episode of RBL or have grade III haemorrhoids considered inappropriate for RBL treatment and/or have grade II or III haemorrhoids which the surgeon feels operative intervention is appropriate
Exclusion criteria
Patients with known perianal sepsis, inflammatory bowel disease, anal or colorectal malignancy, pre-existing sphincter injury
Patients with an immunodeficiency (HIV or other medical cause)
Patients unable to have general or spinal anaesthetic
Patients currently taking Warfarin, Clopidogrel or any other hypocoagulability condition
Patients who have a pacemaker fitted
Patients who have already had surgery as part of the ORION trial
Pregnant women
Patients unable to give full informed consent
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