Tags

Type your tag names separated by a space and hit enter

Randomized clinical trial of LigaSure and conventional diathermy haemorrhoidectomy.
Br J Surg. 2007 Aug; 94(8):937-42.BJ

Abstract

BACKGROUND

The aim of this randomized prospective trial was to compare LigaSure and conventional diathermy haemorrhoidectomy.

METHODS

Two hundred and eighty-four patients with grade III or IV haemorrhoids were randomized to LigaSure or diathermy (Milligan-Morgan) haemorrhoidectomy as a day-case procedure. Operating time, postoperative pain score, hospital stay, postoperative complications, wound healing time and time to return to normal activities were assessed. Thirty-four patients were lost to follow-up.

RESULTS

The mean operating time for LigaSure haemorrhoidectomy was significantly shorter than that for diathermy (P = 0.011). Patients treated with LigaSure had significantly less postoperative pain (measured on a visual analogue scale; P = 0.010), a shorter wound healing time (defined as time to absence of swelling; P = 0.012) and less time off work (P = 0.010) than patients who had diathermy. Neither postoperative complications nor mean hospital stay (day-case surgery) were significantly different.

CONCLUSION

LigaSure haemorrhoidectomy demonstrates simplicity, reproducibility, a low complication rate, fast wound healing, a quick return to work and reduced postoperative pain.

Authors+Show Affiliations

Department of Surgery, Tor Vergata University Hospital, Rome, Italy. marcog.muzi@ptvonline.itNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article
Randomized Controlled Trial

Language

eng

PubMed ID

17636512

Citation

Muzi, M G., et al. "Randomized Clinical Trial of LigaSure and Conventional Diathermy Haemorrhoidectomy." The British Journal of Surgery, vol. 94, no. 8, 2007, pp. 937-42.
Muzi MG, Milito G, Nigro C, et al. Randomized clinical trial of LigaSure and conventional diathermy haemorrhoidectomy. Br J Surg. 2007;94(8):937-42.
Muzi, M. G., Milito, G., Nigro, C., Cadeddu, F., Andreoli, F., Amabile, D., & Farinon, A. M. (2007). Randomized clinical trial of LigaSure and conventional diathermy haemorrhoidectomy. The British Journal of Surgery, 94(8), 937-42.
Muzi MG, et al. Randomized Clinical Trial of LigaSure and Conventional Diathermy Haemorrhoidectomy. Br J Surg. 2007;94(8):937-42. PubMed PMID: 17636512.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Randomized clinical trial of LigaSure and conventional diathermy haemorrhoidectomy. AU - Muzi,M G, AU - Milito,G, AU - Nigro,C, AU - Cadeddu,F, AU - Andreoli,F, AU - Amabile,D, AU - Farinon,A M, PY - 2007/7/20/pubmed PY - 2007/9/26/medline PY - 2007/7/20/entrez SP - 937 EP - 42 JF - The British journal of surgery JO - Br J Surg VL - 94 IS - 8 N2 - BACKGROUND: The aim of this randomized prospective trial was to compare LigaSure and conventional diathermy haemorrhoidectomy. METHODS: Two hundred and eighty-four patients with grade III or IV haemorrhoids were randomized to LigaSure or diathermy (Milligan-Morgan) haemorrhoidectomy as a day-case procedure. Operating time, postoperative pain score, hospital stay, postoperative complications, wound healing time and time to return to normal activities were assessed. Thirty-four patients were lost to follow-up. RESULTS: The mean operating time for LigaSure haemorrhoidectomy was significantly shorter than that for diathermy (P = 0.011). Patients treated with LigaSure had significantly less postoperative pain (measured on a visual analogue scale; P = 0.010), a shorter wound healing time (defined as time to absence of swelling; P = 0.012) and less time off work (P = 0.010) than patients who had diathermy. Neither postoperative complications nor mean hospital stay (day-case surgery) were significantly different. CONCLUSION: LigaSure haemorrhoidectomy demonstrates simplicity, reproducibility, a low complication rate, fast wound healing, a quick return to work and reduced postoperative pain. SN - 0007-1323 UR - https://www.unboundmedicine.com/medline/citation/17636512/Randomized_clinical_trial_of_LigaSure_and_conventional_diathermy_haemorrhoidectomy_ L2 - https://doi.org/10.1002/bjs.5904 DB - PRIME DP - Unbound Medicine ER -