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Randomized clinical trial of Ligasure versus conventional diathermy for day-case haemorrhoidectomy.
Br J Surg. 2002 Apr; 89(4):428-32.BJ

Abstract

BACKGROUND

Haemorrhoidectomy is frequently associated with postoperative pain and prolonged hospital stay. A new technique of haemorrhoidectomy using the Ligasure device suited to day-case surgery is described. This technique was compared with conventional open diathermy haemorrhoidectomy.

METHODS

Forty patients with grade III or IV haemorrhoids were randomized to Ligasure (group 1) or conventional diathermy (group 2) haemorrhoidectomy. Operative details were recorded and patients recorded daily pain scores on a linear analogue scale. Follow-up was at 1, 3, 6 and 12 weeks to evaluate complications, return to normal activity, ongoing symptoms and patient satisfaction.

RESULTS

Reduced intraoperative blood loss (median (range) 0 (0-5) ml versus 20 (12-22) ml; P < 0.001) and a shorter operating time (10 (8-11) versus 20 (18-25) min; P < 0.001) was observed in group 1 compared with group 2. More patients in group 1 were discharged on the day of operation (18 of 20 versus 11 of 20; P < 0.05) and there was a trend towards lower postoperative pain scores on day 1 (group 1 median 5 (95 per cent confidence interval (c.i.) 2.6 to 6.8) versus group 2 7 (95 per cent c.i. 4.2 to 7.7); P = 0.36). There was no difference between the two groups in the degree of patient satisfaction or number of postoperative complications.

CONCLUSION

Ligasure diathermy may be used safely in the treatment of patients with grade III or IV haemorrhoids. It reduces intraoperative blood loss and operating time, and facilitates same-day discharge.

Authors+Show Affiliations

Academic Surgical Unit, St James's University Hospital and University of Leeds, Leeds, UK.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Clinical Trial
Journal Article
Randomized Controlled Trial

Language

eng

PubMed ID

11952582

Citation

Jayne, D G., et al. "Randomized Clinical Trial of Ligasure Versus Conventional Diathermy for Day-case Haemorrhoidectomy." The British Journal of Surgery, vol. 89, no. 4, 2002, pp. 428-32.
Jayne DG, Botterill I, Ambrose NS, et al. Randomized clinical trial of Ligasure versus conventional diathermy for day-case haemorrhoidectomy. Br J Surg. 2002;89(4):428-32.
Jayne, D. G., Botterill, I., Ambrose, N. S., Brennan, T. G., Guillou, P. J., & O'Riordain, D. S. (2002). Randomized clinical trial of Ligasure versus conventional diathermy for day-case haemorrhoidectomy. The British Journal of Surgery, 89(4), 428-32.
Jayne DG, et al. Randomized Clinical Trial of Ligasure Versus Conventional Diathermy for Day-case Haemorrhoidectomy. Br J Surg. 2002;89(4):428-32. PubMed PMID: 11952582.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Randomized clinical trial of Ligasure versus conventional diathermy for day-case haemorrhoidectomy. AU - Jayne,D G, AU - Botterill,I, AU - Ambrose,N S, AU - Brennan,T G, AU - Guillou,P J, AU - O'Riordain,D S, PY - 2002/4/16/pubmed PY - 2002/5/25/medline PY - 2002/4/16/entrez SP - 428 EP - 32 JF - The British journal of surgery JO - Br J Surg VL - 89 IS - 4 N2 - BACKGROUND: Haemorrhoidectomy is frequently associated with postoperative pain and prolonged hospital stay. A new technique of haemorrhoidectomy using the Ligasure device suited to day-case surgery is described. This technique was compared with conventional open diathermy haemorrhoidectomy. METHODS: Forty patients with grade III or IV haemorrhoids were randomized to Ligasure (group 1) or conventional diathermy (group 2) haemorrhoidectomy. Operative details were recorded and patients recorded daily pain scores on a linear analogue scale. Follow-up was at 1, 3, 6 and 12 weeks to evaluate complications, return to normal activity, ongoing symptoms and patient satisfaction. RESULTS: Reduced intraoperative blood loss (median (range) 0 (0-5) ml versus 20 (12-22) ml; P < 0.001) and a shorter operating time (10 (8-11) versus 20 (18-25) min; P < 0.001) was observed in group 1 compared with group 2. More patients in group 1 were discharged on the day of operation (18 of 20 versus 11 of 20; P < 0.05) and there was a trend towards lower postoperative pain scores on day 1 (group 1 median 5 (95 per cent confidence interval (c.i.) 2.6 to 6.8) versus group 2 7 (95 per cent c.i. 4.2 to 7.7); P = 0.36). There was no difference between the two groups in the degree of patient satisfaction or number of postoperative complications. CONCLUSION: Ligasure diathermy may be used safely in the treatment of patients with grade III or IV haemorrhoids. It reduces intraoperative blood loss and operating time, and facilitates same-day discharge. SN - 0007-1323 UR - https://www.unboundmedicine.com/medline/citation/11952582/Randomized_clinical_trial_of_Ligasure_versus_conventional_diathermy_for_day_case_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=4&amp;spage=428 DB - PRIME DP - Unbound Medicine ER -