E-ISSN 2367-699X | ISSN 2367-7414
 

Original Research 


Prospective, randomized controlled trial of LigaSure™ versus conventional hemorrhoidectomy for grade III and IV hemorrhoids

Wagih Mommtaz Ghnnam.

Cited by (1)

Abstract
Background:
Performing hemorrhoidectomy with LigaSure™ vessel sealing system is a rapid and simple new technique. The aim of this study was to evaluate LigaSure™ hemorrhoidectomy (LH) to open hemorrhoidectomy (OH) performed by the conventional diathermy.
Patients and methods:
One hundred and sixteen patients with grades III and IV hemorrhoids were prospectively randomized to either LigaSure™ or open conventional diathermy hemorrhoidectomy. Primary end point was postoperative pain. Secondary end points were operative time, blood loss, complications, need for analgesics and time to achieve complete wound healing.
Results:
The LigaSure™ group achieved a significant reduction in operative time, blood loss, first postoperative day pain score, seventh day pain score and overall pain score. Patients in the LigaSure™ group required less pethidine analgesia on the first postoperative day. Time to achieve complete wound healing were shorter in the LigaSure™ group. There was no difference in postoperative complications.
Conclusion:
LigaSure™ hemorrhoidectomy provides a valid alternative to conventional hemorrhoidectomy. Based on our results, further studies addressing long-term functional results are needed to prove that LigaSure™ hemorrhoidectomy is the ideal method of hemorrhoidectomy for the patients.

Key words: Hemorrhoids, LigaSure™ , Hemorrhoidectomy, Milligan-Morgan


 
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This Article Cited By the following articles

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How to Cite this Article
Pubmed Style

Wagih Mommtaz Ghnnam. Prospective, randomized controlled trial of LigaSure™ versus conventional hemorrhoidectomy for grade III and IV hemorrhoids. Int J Surg Med. 2017; 3(1): 8-13. doi:10.5455/ijsm.hemorrhoids-ligasure


Web Style

Wagih Mommtaz Ghnnam. Prospective, randomized controlled trial of LigaSure™ versus conventional hemorrhoidectomy for grade III and IV hemorrhoids. http://www.ejos.org/?mno=235899 [Access: August 22, 2018]. doi:10.5455/ijsm.hemorrhoids-ligasure


AMA (American Medical Association) Style

Wagih Mommtaz Ghnnam. Prospective, randomized controlled trial of LigaSure™ versus conventional hemorrhoidectomy for grade III and IV hemorrhoids. Int J Surg Med. 2017; 3(1): 8-13. doi:10.5455/ijsm.hemorrhoids-ligasure



Vancouver/ICMJE Style

Wagih Mommtaz Ghnnam. Prospective, randomized controlled trial of LigaSure™ versus conventional hemorrhoidectomy for grade III and IV hemorrhoids. Int J Surg Med. (2017), [cited August 22, 2018]; 3(1): 8-13. doi:10.5455/ijsm.hemorrhoids-ligasure



Harvard Style

Wagih Mommtaz Ghnnam (2017) Prospective, randomized controlled trial of LigaSure™ versus conventional hemorrhoidectomy for grade III and IV hemorrhoids. Int J Surg Med, 3 (1), 8-13. doi:10.5455/ijsm.hemorrhoids-ligasure



Turabian Style

Wagih Mommtaz Ghnnam. 2017. Prospective, randomized controlled trial of LigaSure™ versus conventional hemorrhoidectomy for grade III and IV hemorrhoids. International Journal of Surgery and Medicine, 3 (1), 8-13. doi:10.5455/ijsm.hemorrhoids-ligasure



Chicago Style

Wagih Mommtaz Ghnnam. "Prospective, randomized controlled trial of LigaSure™ versus conventional hemorrhoidectomy for grade III and IV hemorrhoids." International Journal of Surgery and Medicine 3 (2017), 8-13. doi:10.5455/ijsm.hemorrhoids-ligasure



MLA (The Modern Language Association) Style

Wagih Mommtaz Ghnnam. "Prospective, randomized controlled trial of LigaSure™ versus conventional hemorrhoidectomy for grade III and IV hemorrhoids." International Journal of Surgery and Medicine 3.1 (2017), 8-13. Print. doi:10.5455/ijsm.hemorrhoids-ligasure



APA (American Psychological Association) Style

Wagih Mommtaz Ghnnam (2017) Prospective, randomized controlled trial of LigaSure™ versus conventional hemorrhoidectomy for grade III and IV hemorrhoids. International Journal of Surgery and Medicine, 3 (1), 8-13. doi:10.5455/ijsm.hemorrhoids-ligasure