Conventional Hemorrhoidectomy versus Ligasure Hemorrhoidectomy: A Comparative Study
Journal Title: The Egyptian Journal of Hospital Medicine - Year 2018, Vol 71, Issue 5
Abstract
<strong>Background: </strong>Hemorrhoidal disease is one of the most common anorectal diseases and surgical hemorrhoidectomy remains one of the most common operations in general surgery. Milligan-Morgan Described the conventional hemorrhoidectomy since about 70 years ago, then surgical hemorrhoidectomy had changed little over years until the introduction of LigaSure hemorrhoidectomy. <strong>Aim </strong><strong>of the Work: </strong>Is to compare between conventional (Milligan-Morgan) hemorrhoidectomy and LigaSure hemorrhoidectomy in treating patients with 3<sup>rd</sup> and 4<sup>th</sup> degree internal piles.<strong> Patients and Methods: </strong>This randomized control clinical trial was done at Mounira General Hospital over a period from April 2017 to March 2018 on the basis of: It included 40 adult patients with 3<sup>rd</sup> and 4<sup>th</sup> degree hemorrhoids divided randomly into 2 equal groups: Group A (n: 20 patients) underwent LigaSure hemorrhoidectomy. Group B (n: 20 patients) underwent Conventional hemorrhoidectomy. <strong>Results: </strong>There was a highly significant difference between the two study groups as regard the operative time, in the LigaSure hemorrhoidectomy group the mean operative time was 11.15 ± 2.68 minutes, while in the conventional technique group the mean time was 28.75 ± 4.20 minutes. As regards the post-operative pain, in the 1<sup>st</sup> day, there was a highly significant difference between the two study groups; in the LigaSure hemorrhoidectomy group the mean post-operative pain was 3.80 ± 1.54; while in the conventional technique it was 5.95 ± 0.99. Regarding the post-operative pain, in the 1<sup>st</sup> week, the LigaSure hemorrhoidectomy group mean was 2.60 ± 1.27; while in the conventional method was 4.80±0.89. As regard the intra-operative estimated blood loss, a significant difference between the two study groups was present. In ligaSure hemorrhoidectomy group 40% had almost no bleeding, 20% had minimal blood loss, 20% had mild loss and 20% had moderate blood loss in comparison with conventional method group patients; 0% with no blood loss, 15% with minimal loss, 55% with mild loss and 30% with moderate blood loss. As regards duration of wound healing, in the LigaSure group, the mean time was 2.65 ± 0.74 weeks while in the in the conventional technique group, it was 4.60 ± 0.82 weeks which was statistically highly significant. With LigaSure hemorrhoidectomy only 6 patients out of 20 needed anal packing, in contrast with conventional method group that needed an anal pack for the whole 20 patients. <strong>Conclusion: </strong>We conclude that LigaSure hemorrhoidectomy is better than conventional (Milligan-Morgan) hemorrhoidectomy in terms of less operative time, less intra-operative blood loss, less post-operative pain, less post-operative analgesics and earlier wound healing and return to daily work hence higher patient satisfaction. <strong>Recommendations:</strong> Further studies on a larger scale of patients are needed to confirm the results obtained by this work.
Authors and Affiliations
Eman Helal
Keywords
Related Articles
- EP ID EP583932
- DOI -
- Views 105
- Downloads 0
Vitamin D Level in Non-Diabetic and Type II Diabetic Patients KFU Health Center: A Cross Sectional Study
<span>Background: </span><span>Widespread vitamin D deficiency all over the world has been documented by many previous studies including recent studies in KSA which revealed incidence reaching up to100%. Also, number of...
Role of Chest Ultrasound in Detecting Successful Pleurodesis in Patients with Malignant Pleural Effusion
<strong>Background: </strong>One of the easiest sign to identify during chest sonography is the movement of the visceral pleura compared to immobility of the parietal pleura. This sign of ‘pleural sliding’, firstly descr...
The Diagnostic accuracy of Ultrasound Guided Fine Needle Aspiration Biopsy for Dominant Nodules in Multinodular Goiter
<strong>Background: </strong>FNAC is useful tool to evaluate dominant thyroid nodule in patients with multi nodular goiter however, because the diagnostic performance of US-based FNAC criteria varies according to the ind...
Syntactic Profile in Children with Autism Spectrum Disorders (ASD)
<strong>Background: </strong>in autism spectrum disorder the range of language abilities varies between total muteness to an apparent grammatically complex language. There is a debate on the effect of autism on syntax de...
Study of Dyslipidemia in Patients with Systemic Lupus Erythematosus and its Correlation to Disease Activity
Background: Acute promyelocytic leukemia (APL) is an aggressive subtype of acute myeloid leukemia (AML) that requires rapid diagnosis and early intervention. Previous studies spotted light on APL being negative for membe...