Details
Category: Volume 06 Issue 09 September 2018
Hits: 1315

Title: A Comparative Study between Ligasure Hemorrhoidectomy and Conventional Hemorrhoidectomy

Authors: Dr Vinayaka N S, Dr Prajwal R K, Dr Sudhir M

 DOI:  https://dx.doi.org/10.18535/jmscr/v6i9.132

Abstract

Aims And Objectives: The aim of the study was to compare the results of Ligasure hemorrhoidectomy and conventional haemorrhoidectomy in terms of Operating time and Blood loss, Post operative pain, Post operative complications, Hospital stay and Time to return to work.

Methods: The study population consisted of 60 patients who were admitted with Grade III or Grade IV Hemorrhoids. Patients were submitted to one of the surgical procedures mentioned above after randomising. The time for each surgical procedure, the per operative bleeding and Post-operative pain  using visual analogue scale , time for defecation after operation and pain and bleeding associated with it were assessed. Early post-operative complications, patients length of hospital stay and time to return to work were compared. A follow up examination was conducted for minimum period of 6 months.

Results: The duration of surgery (25.50±9.50 min versus 41.67±4.97, P value <0.001), per-operative bleeding (17.50±6.66 ml versus 27.17±2.52 ml, P value: <0.001), duration of stay in hospital (6.20±1.37 versus 10.40±1.52 days, P value: <0.001) was (statistic) significantly less with Ligasure Hemorrhoidectomy when compared to conventional Hemorrhoidectomy. Also Post operative pain and time taken to return to normal activity was almost similar in both methods. One patient in Ligasure Hemorrhoidectomy developed Anal stenosis and needed operative intervention.

Conclusion: Ligasure Hemorrhoidectomy is a sutureless, safe and effective procedure for haemorrhoids when compared with conventional variety and is a simpler technique and has the ability to make Hemorrhoidectomy a day care procedure.

Keywords:  Hemorrhoids, Ligasure Hemorrhoidectomy, Conventional Hemorrhoidectomy.

References

  1. F F Palazzo, D L Francis and M A Clifton randomized clinical trial of ligasure versus open hemorrhoidectomy, british journal of surgery 2002, edition 89, page 154-157.
  2. D G Jayne, I Botterill, N S Ambrose, T G Brennan, P J Guillou and D S O’riordain randomized clinical trial of ligasure versus conventional diathermy for day-case hemorrhoidectomy, british journal of surgery 2002, edition 89, page 428-432.
  3. Franklin E J, Seetharam S, Lowney J and Horgan P G randomized clinical trial of ligasure versus conventional diathermy in hemorrhoidectomy, diseases of colon and rectum, 2003 oct; 46(10);1380-3.
  4. Altomare D F, Milito G, Andreoli R, Arcana F, Tricomi N, Salafia C, Segre D, Pecorella G, Pulvirenti D Urso A, Cracco N ligasure precise versus conventional diathermy for Milligan-Morgan hemorrhoidectomy, diseases of colon and rectum, 2008 may; 51(5); 514-9.
  5. Wang Jy, Lu Cy, Tsai Hl, Chen Fm et al randomized control trial of ligasure versus Ferguson hemorrhoidectomy, bjs 2007,
  6. Bessassligasure versus conventional diathermy, a prospective randomized study, diseases of colon and rectum 2008, 51(6); 940-4.
  7. Muzi M G, Milito G et al randomised study of ligasure and conventional diathermy, br j surg 2007, aug; 94(8); 937-42
  8. Jirawat Pattana Arun, Nutthapong Sooriprasoet et al closed versus ligasure hemorrhoidectomy; j med assocthai vol.89 no.4 2006; 453-8
  9. Jinn-Shiun Chen, Jeng-Fu you current status of surgical treatment of hemorrhoids; Chang Gung med j vol 33, no 5; 488-499
  10. Rahul Khanna, ShilpaKhanna et al India J Surg (July- Aug 2010) 72 (4): 294-29.
  11. Ferguson JA, Heaton JR closed Hemorrhoide-ctomy, Dis colon rectum 1959;2; 176.
  12. Milligan ETC, Morgan CN, Jones LE, Officer R (1937) Surgicalanatomy of the anal canal and the operative treatment of hemorrhoids. Lancet 2:1119–1124.
  13. Tan KY, Zin T, Sim HL. Randomized clinical trial comparing Liga Sure haemorrhoi-dectomy with open diathermy haemorrhoi-dectomy. Tech Coloproctol 2008;12:93-7.
  14. Milito G, Gargiani M, Cortese F. Randomised trial comparing Liga Sure haemorrhoi-dectomy with the diathermy dissection operation. Tech Coloproctol 2002;6:171-5.
  15. Thorbeck CV, Montes MF. Haemorrhoi-dectomy: randomized controlled clinical trial of Ligasure compared with Milligan-Morgan operation. Eur J Surg 2002;168:482-4.
  16. Chung YC, Wu HJ. Clinical experience of sutureless closed hemorrhoidectomy with LigaSure. Dis Colon Rectum 2003;46:87-92.

Corresponding Author

Dr Prajwal R K