Abstract
PURPOSE: The purpose of this study was to evaluate the LigaSure™ vessel sealing system as an alternative to closed hemorrhoidectomy. METHODS: Sixty-one patients with Grade 3 or 4 symptomatic hemorrhoids were prospectively randomly assigned to undergo hemorrhoidectomy with the LigaSure™ vessel sealing system or hemorrhoidectomy using the conventional Ferguson procedure. We determined the operation time, postoperative pain, amount of time taken off from work, and complications associated with both techniques. RESULTS: Mean operative time for the LigaSure™ hemorrhoidectomy was 15 ± 5.4 minutes and for the Ferguson operation, 21.2 ± 8.2 minutes. The difference was significant (P < 0.01). There was also a significant decrease in pain measurements reported on postoperative Days 1 and 2 (P < 0.05) in the LigaSure™ group. The incidence of postoperative wound swelling and complications were similar between two groups. There was no difference in the period of time off from work between patient groups. CONCLUSION: This study confirms that LigaSure™ system can achieve a radical ablation of hemorrhoids, reduce operative time, and result in less postoperative pain on postoperative Days 1 and 2.
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References
A Senagore WP Mazier MA Luchtefeld JM MacKeigan T Wengert (1993) ArticleTitleTreatment of advanced hemorrhoidal disease Dis Colon Rectum 36 1042–1049
BT Andrews GT Layer BT Jackson RJ Nicholls (1993) ArticleTitleRandomized trial comparing diathermy hemorrhoidectomy with the scissor dissection Milligan-Morgan operation Dis Colon Rectum 36 580–583
JJ Tan F Seow-Choen (2001) ArticleTitleProspective, randomized trial comparing diathermy and Harmonic Scalpel® hemorrhoidectomy Dis Colon Rectum 44 677–679
DN Armstrong WL Ambroze ME Schertzer GR Orangio (2001) ArticleTitleHarmonic Scalpel® vs. electrocautery hemorrhoidectomy Dis Colon Rectum 44 558–564
LM Pernice B Bartalucci L Bencini A Borri S Catarzi K Kroning (2001) ArticleTitleEarly and late (ten years) experience with circular stapler hemorrhoidectomy Dis Colon Rectum 44 836–841
S Khan SE Pawlak JC Eggenberger et al. (2001) ArticleTitleSurgical treatment of hemorrhoids Dis Colon Rectum 44 845–848
BJ Mehigan JR Monson JE Hartley (2000) ArticleTitleStapling procedure for haemorrhoids versus Milligan-Morgan haemorrhoidectomy; randomised controlled trial Lancet 355 782–785
M Rowsell M Bello DM Hemingway (2000) ArticleTitleCircumferential mucosectomy (stapled hemorrhoidectomy) versus conventional hemorrhoidectomy Lancet 355 779–781
JS Kennedy PL Stranahan KD Taylor JG Chandler (1998) ArticleTitleHigh-burst strength, feedback-controlled bipolar vessel sealing Surg Endosc 12 876–878
J Sayfan A Becker L Koltun (2001) ArticleTitleSutureless closed hemorrhoidectomy Ann Surg 234 21–24
R Gencosmanoglu O Sad D Koc R Inceoglu (2002) ArticleTitleHemorrhoidectomy Dis Colon Rectum 45 70–75
EA Carapeti MA Kamm PJ McDonald SJ Chadwick RK Phillip (1999) ArticleTitleRandomized trial of open versus closed day-case haemorrhoidectomy Br J Surg 86 612–613
SB Hosch WT Knoefel U Pichlmeier et al. (1998) ArticleTitleSurgical treatment of piles Dis Colon Rectum 41 159–164
SD McCarus (1996) ArticleTitlePhysiologic mechanism of the ultrasonically activated scalpel J Am Assoc Gynecol Laparos 3 601–608
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Chung, YC., Wu, HJ. Clinical Experience of Sutureless Closed Hemorrhoidectomy with LigaSure™. Dis Colon Rectum 46, 87–92 (2003). https://doi.org/10.1007/s10350-004-6501-9
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DOI: https://doi.org/10.1007/s10350-004-6501-9