Hemorrhoids pp 201-208 | Cite as

Modern Hemorrhoidectomy: Techniques and Results

  • Giovanni MilitoEmail author
  • Giorgio Lisi
Reference work entry
Part of the Coloproctology book series (COLOPROCT, volume 2)


Hemorrhoidectomy is frequently associated with significant postoperative pain and prolonged hospital stay. New techniques to reduce these problems are constantly under evaluation. Among these, LigaSure™ hemorrhoidectomy is a safe and fast technique that fulfills the requirements of low-complication rate, fast wound healing and quick return to work, reduction in postoperative pain, and hospitalization. The authors detail all the steps of the surgical procedure: operative position, hemorrhoids exposure, dissection, vascular pedicle ligation, hemorrhoidal removal, and final control. Besides this, the attention is focused on the technical features of LigaSure™ technology, given that understanding of technical background is a prerequisite for adequate handling of the LigaSure™ device.


  1. Beattie GC, Wilson RG, Loudon MA (2002) The contemporary management of hemorrhoids. Color Dis 4(6):450–454CrossRefPubMedGoogle Scholar
  2. Chen CW, Lai CW, Chang YJ et al (2013) Results of 666 consecutive patients treated with LigaSure hemorrhoidectomy for symptomatic prolapsed hemorrhoids with a minimum follow-up of 2 years. Surgery 153(2):211–218CrossRefPubMedGoogle Scholar
  3. Chung YC, Wu HJ (2003) Clinical experience of sutureless closed hemorrhoidectomy with LigaSure™. Dis Colon Rectum 46(1):87–92CrossRefGoogle Scholar
  4. Franklin EJ, Seetharam S, Lowney J, Horgan PG (2003) Randomized, clinical trial of LigaSure™ versus conventional diathermy in hemorrhoidectomy. Dis Colon Rectum 46(10):1380–1383Google Scholar
  5. Gentile M, De Rosa M, Carbone G et al (2011) LigaSure heamorrhoidectomy versus conventional diathermy for IV-degree haemorrhoids: is it the treatment of choice? A randomized, clinical trial. ISRN Gastroenterol 2011:467258PubMedGoogle Scholar
  6. Gravante G, Venditti D (2007) Postoperative anal stenoses with LigaSure™ hemorrhoidectomy. World J Surg 31(1):245CrossRefGoogle Scholar
  7. Kennedy JS, Stranahan PL, Taylor KD, Chandler JG (1998) High-burst-strength, feedback-controlled bipolar vessel sealing. Surg Endosc 12(6):876–878CrossRefPubMedGoogle Scholar
  8. Milito G, Lisi G, Aronadio E, Campanelli M, Venditti D, Grande S, Grande M (2017) LigaSure™ hemorrhoidectomy: how we do. Minerva Gastroenterol Dietol 63(1):44–49PubMedGoogle Scholar
  9. Muzi MG, Milito G, Nigro C, Cadeddu F, Andreoli F, Amabile D, Farinon AM (2007) Randomized clinical trial of LigaSure™ and conventional diathermy haemorrhoidectomy. Br J Surg 94(8):937–942CrossRefPubMedGoogle Scholar
  10. Peters CJ, Botterill I, Ambrose NS, Hick D, Casey J, Jayne DG (2005) LigaSure™ vs conventional diathermy haemorrhoidectomy: long-term follow-up of a randomised clinical trial. Color Dis 7(4):350–353CrossRefPubMedGoogle Scholar
  11. Ramcharan KS, Hunt TM (2005) Anal stenosis after LigaSure™ hemorrhoidectomy. Dis Colon Rectum 48(8):1670–1671CrossRefGoogle Scholar
  12. Rivadeneira DE, Steele SR, Ternent C, Chalasani S, Buie WD, Rafferty JL (2011) Practice parameters for the management of hemorrhoids (revised 2010). Dis Colon Rectum 54(9):1059–1064CrossRefPubMedGoogle Scholar
  13. Sayfan J, Becker A, Koltun L (2001) Sutureless closed hemorrhoidectomy: a new technique. Ann Surg 234(1):21–24CrossRefPubMedPubMedCentralGoogle Scholar
  14. Schubert MC, Sridhar S, Schade RR, Wexner SD (2009) What every gastroenterologist needs to know about common anorectal disorders. World J Gastroenterol 15(26):3201–3209CrossRefPubMedPubMedCentralGoogle Scholar
  15. Wang JY, Lu CY, Tsai HL et al (2006) Randomized controlled trial of LigaSure with submucosal dissection versus ferguson hemorrhoidectomy for prolapsed hemorrhoids. World J Surg 30(3):462–466CrossRefPubMedGoogle Scholar

Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Department of Medicine and Experimental SurgeryUniversity Hospital of Tor VergataRomaItaly
  2. 2.Department of General and Pancreatic SurgeryUniversity Hospital of VeronaVeronaItaly

Personalised recommendations