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Randomized clinical trial of Ligasure versus open haemorrhoidectomy.
Br J Surg. 2002 Feb; 89(2):154-7.BJ

Abstract

BACKGROUND

Postoperative pain associated with open haemorrhoidectomy remains problematic. Haemorrhoidectomy performed using bloodless bipolar diathermy--Ligasure--may have advantages over conventional open haemorrhoidectomy in terms of operating time and postoperative pain.

METHODS

Thirty-four patients were randomized to undergo Ligasure (18 patients) or diathermy (16) haemorrhoidectomy. The operating time, amount of pain and postoperative analgesic requirement, postoperative complications and overall patient satisfaction were documented.

RESULTS

The median duration of operation was shorter in the Ligasure haemorrhoidectomy group (5.1 versus 9.2 min; P < 0.001). There was no statistically significant difference in the postoperative pain score, but the median analgesic requirement was lower in the Ligasure group (850 versus 1600 mg tramadol; P = 0.013). Patient satisfaction was similar in both groups.

CONCLUSION

Ligasure haemorrhoidectomy is quick and bloodless and, although as painful as diathermy haemorrhoidectomy, is associated with a reduced analgesic requirement.

Authors+Show Affiliations

Department of Surgery, Princess Alexandra Hospital, Harlow, UK. ffpalazzo@aol.comNo affiliation info availableNo affiliation info available

Pub Type(s)

Clinical Trial
Comparative Study
Journal Article
Randomized Controlled Trial

Language

eng

PubMed ID

11856126

Citation

Palazzo, F F., et al. "Randomized Clinical Trial of Ligasure Versus Open Haemorrhoidectomy." The British Journal of Surgery, vol. 89, no. 2, 2002, pp. 154-7.
Palazzo FF, Francis DL, Clifton MA. Randomized clinical trial of Ligasure versus open haemorrhoidectomy. Br J Surg. 2002;89(2):154-7.
Palazzo, F. F., Francis, D. L., & Clifton, M. A. (2002). Randomized clinical trial of Ligasure versus open haemorrhoidectomy. The British Journal of Surgery, 89(2), 154-7.
Palazzo FF, Francis DL, Clifton MA. Randomized Clinical Trial of Ligasure Versus Open Haemorrhoidectomy. Br J Surg. 2002;89(2):154-7. PubMed PMID: 11856126.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Randomized clinical trial of Ligasure versus open haemorrhoidectomy. AU - Palazzo,F F, AU - Francis,D L, AU - Clifton,M A, PY - 2002/2/22/pubmed PY - 2002/3/22/medline PY - 2002/2/22/entrez SP - 154 EP - 7 JF - The British journal of surgery JO - Br J Surg VL - 89 IS - 2 N2 - BACKGROUND: Postoperative pain associated with open haemorrhoidectomy remains problematic. Haemorrhoidectomy performed using bloodless bipolar diathermy--Ligasure--may have advantages over conventional open haemorrhoidectomy in terms of operating time and postoperative pain. METHODS: Thirty-four patients were randomized to undergo Ligasure (18 patients) or diathermy (16) haemorrhoidectomy. The operating time, amount of pain and postoperative analgesic requirement, postoperative complications and overall patient satisfaction were documented. RESULTS: The median duration of operation was shorter in the Ligasure haemorrhoidectomy group (5.1 versus 9.2 min; P < 0.001). There was no statistically significant difference in the postoperative pain score, but the median analgesic requirement was lower in the Ligasure group (850 versus 1600 mg tramadol; P = 0.013). Patient satisfaction was similar in both groups. CONCLUSION: Ligasure haemorrhoidectomy is quick and bloodless and, although as painful as diathermy haemorrhoidectomy, is associated with a reduced analgesic requirement. SN - 0007-1323 UR - https://www.unboundmedicine.com/medline/citation/11856126/Randomized_clinical_trial_of_Ligasure_versus_open_haemorrhoidectomy_ L2 - https://onlinelibrary.wiley.com/resolve/openurl?genre=article&amp;sid=nlm:pubmed&amp;issn=0007-1323&amp;date=2002&amp;volume=89&amp;issue=2&amp;spage=154 DB - PRIME DP - Unbound Medicine ER -