Outcome of Hemorrhoidectomy with the Ligasure in Comparison with the Traditional open Method
DOI:
https://doi.org/10.37762/jgmds.4-1.25Keywords:
Open hemorrhoidectomy., Ligasure Hemorrhoidectomy, Surgic timeAbstract
OBJECTIVE
To compare the operative time and outcomes of Ligasure hemorrhoidectomy with that of the traditional open hemorrhoidectomy.
METHODOLOGY
A total of 49 patients were included in this study. Out of which 24 were in the Ligasure group and 25 in the open group. The main objective or the primary variable was to assess the operative time for the excision of a single hemorrhoidal lesion, the need for morphine, for post operative pain relief and any other complications such as preoperative bleeding and the time to return to work. The data like age, sex, type of Haemorrhoidectomy, type of complicating etc. were recorded in already prepared proforma. The data was analysed through computer program SPSS10.
RESULTS
The demographic data were comparable between the two groups. The time spent in excision of a solitary hemorrhoidal lesion was significantly shorter in the Ligasure group compared to the open group (8.25 min Vs 16.75 min ) and this difference was found to be statistically significant (p<0.001). Operative bleeding was also significantly lower than the open method of Haemorrhoidectony. Other parameters like post operative pain, opioid requirement, urinary retention and chronic complications like anal stenosis and gas incontinence were not significant. There was no difference in the period of convalescence and return to work between the two groups.
CONCLUSION
Hemorrhoidectomy with the Ligasure entails a shorter surgical time and could be associated with a lesser pain besides being safer.
Downloads
Metrics
References
Brunicardi FC, Andersen DK, Billiar TR, Dunn DL, Hunter JG, Matthews JB, et al, editors. Schwartz's Principles of Surgery. 9th ed. New York: McGraw-Hill; 2010. p. 1057-8
Jayaraman S, Colquhoun PH, Malthaner RA. Stapled versus conventional surgery for hemorrhoids. Cochrane Database Syst Rev 2006;(4):CD005393
Altomare DF, Milito G, Andreoli R, Arcana F, Tricomi N, Salafia C, et al. Ligasure Precise vs. conventional diathermy forMilligan-Morgan hemorrhoidectomy: randomized, multicenter trial. Dis colon rectum.2008;51(5):514-19 DOI: https://doi.org/10.1007/s10350-007-9171-6
Khanna R, Khanna S, Bhadani S, Singh S, Khanna AK. Comparison of LigasureHemorrhoidectomy with Conventional Ferguson's Hemorrhoidectomy. Indian J Surg 2010;72(4):294-7 DOI: https://doi.org/10.1007/s12262-010-0192-3
Sakr MF. LigaSure versus Milligan-Morgan hemorrhoidectomy: a prospective randomized clinical trial. Tech Coloproctol .2010;14(1):13-7 DOI: https://doi.org/10.1007/s10151-009-0549-4
Fareed M, El-Awady S, Abd-El monaem H, Aly A. Randomized trial comparing LigaSure to closed Ferguson hemorrhoidectomy. Tech Coloproctol 2009;13(3):243-6 DOI: https://doi.org/10.1007/s10151-009-0520-4
Chung YC, Wu HJ. Clinical experience of sutureless closed hemorrhoidectomy with LigaSure. Dis Colon Rectum 2003;46(1):87- .92 DOI: https://doi.org/10.1007/s10350-004-6501-9
Tan KY, Zin T, Sim HL, Poon PL, Cheng A, Mak K. Randomized clinical trial comparing LigaSure haemorrhoidectomy with open diathermy haemorrhoidectomy. Tech Coloproctol 2008;12(2):93-7. DOI: https://doi.org/10.1007/s10151-008-0405-y
lelpo B, Martin P, Vazquez R, Corripio R, Roman JS, Acedo F, et al. Long term results of diathermy Milligan-Morgan, stapled, harmonic scalpel and Ligasurehemorrhoidectomy. Colorectal Dis 2010;12 (Suppl 3):49
Palazzo FF, Francis DL, Clifton MA. Randomized clinical trial of Ligasure versus open haemorrhoidectomy. Br J Surg .2002;89(2):154-7 DOI: https://doi.org/10.1046/j.1365-2168.2002.01993.x
Tan EK, Cornish J, Darzi AW, Papagrigoriadis S, Tekkis PP. Meta- analysis of short-term outcomes of randomized controlled trials of LigaSure vs conventional hemorrhoidectomy. Arch Surg 2007;142(141209-18; discussion 1218 DOI: https://doi.org/10.1001/archsurg.142.12.1218
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2017 Fiaz -Ur- Rahman, Dr., Arshad Amin, Dr., Shahid Nisar, Dr., Musarat Hussaind, Dr.
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
