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Ligasure vs. conventional diathermy in excisional hemorrhoidectomy: a prospective, randomized study.
Dis Colon Rectum. 2008 Jun; 51(6):940-4.DC

Abstract

PURPOSE

This study was designed to compare the surgical outcomes of hemorrhoidectomy performed by the Ligasure with that performed by the conventional diathermy.

METHODS

A total of 110 patients were randomized to Ligasure (55 patients) or diathermy (55 patients) hemorrhoidectomy. The operative time, postoperative pain scores, parenteral analgesic requirements in the first 24 hours, postoperative complications, and wound healing rates at six weeks postoperatively were documented.

RESULTS

The median operative time was 8 (range, 7-10) minutes for the Ligasure group and 18 (range, 15-21) minutes for the diathermy group (P < 0.001). Throughout the first postoperative week, the daily median pain score was lower in the Ligasure group than in the diathermy group (P < 0.001). The median number of analgesic ampoules during the first 24 hours postoperatively was lower in the Ligasure group (P < 0.001). There was no statistically significant difference in the incidence of postoperative complications. At six weeks postoperatively, more patients in the Ligasure group had complete healing of wounds (P = 0).

CONCLUSION

Ligasure provides a superior alternative to conventional diathermy in hemorrhoidectomy by reducing the operative time, postoperative pain, parenteral analgesic requirements during the first 24 hours postoperatively, and the time to complete healing of wounds.

Authors+Show Affiliations

Department of General Surgery, Faculty of Medicine, University of Alexandria, Alexandria, Egypt. samerbessa@gmail.com

Pub Type(s)

Comparative Study
Journal Article
Randomized Controlled Trial

Language

eng

PubMed ID

18273670

Citation

Bessa, Samer S.. "Ligasure Vs. Conventional Diathermy in Excisional Hemorrhoidectomy: a Prospective, Randomized Study." Diseases of the Colon and Rectum, vol. 51, no. 6, 2008, pp. 940-4.
Bessa SS. Ligasure vs. conventional diathermy in excisional hemorrhoidectomy: a prospective, randomized study. Dis Colon Rectum. 2008;51(6):940-4.
Bessa, S. S. (2008). Ligasure vs. conventional diathermy in excisional hemorrhoidectomy: a prospective, randomized study. Diseases of the Colon and Rectum, 51(6), 940-4. https://doi.org/10.1007/s10350-008-9214-7
Bessa SS. Ligasure Vs. Conventional Diathermy in Excisional Hemorrhoidectomy: a Prospective, Randomized Study. Dis Colon Rectum. 2008;51(6):940-4. PubMed PMID: 18273670.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Ligasure vs. conventional diathermy in excisional hemorrhoidectomy: a prospective, randomized study. A1 - Bessa,Samer S, Y1 - 2008/02/14/ PY - 2007/06/12/received PY - 2007/10/17/accepted PY - 2007/08/26/revised PY - 2008/2/15/pubmed PY - 2008/7/2/medline PY - 2008/2/15/entrez SP - 940 EP - 4 JF - Diseases of the colon and rectum JO - Dis Colon Rectum VL - 51 IS - 6 N2 - PURPOSE: This study was designed to compare the surgical outcomes of hemorrhoidectomy performed by the Ligasure with that performed by the conventional diathermy. METHODS: A total of 110 patients were randomized to Ligasure (55 patients) or diathermy (55 patients) hemorrhoidectomy. The operative time, postoperative pain scores, parenteral analgesic requirements in the first 24 hours, postoperative complications, and wound healing rates at six weeks postoperatively were documented. RESULTS: The median operative time was 8 (range, 7-10) minutes for the Ligasure group and 18 (range, 15-21) minutes for the diathermy group (P < 0.001). Throughout the first postoperative week, the daily median pain score was lower in the Ligasure group than in the diathermy group (P < 0.001). The median number of analgesic ampoules during the first 24 hours postoperatively was lower in the Ligasure group (P < 0.001). There was no statistically significant difference in the incidence of postoperative complications. At six weeks postoperatively, more patients in the Ligasure group had complete healing of wounds (P = 0). CONCLUSION: Ligasure provides a superior alternative to conventional diathermy in hemorrhoidectomy by reducing the operative time, postoperative pain, parenteral analgesic requirements during the first 24 hours postoperatively, and the time to complete healing of wounds. SN - 1530-0358 UR - https://www.unboundmedicine.com/medline/citation/18273670/Ligasure_vs__conventional_diathermy_in_excisional_hemorrhoidectomy:_a_prospective_randomized_study_ L2 - http://link.springer.com/article/10.1007/s10350-008-9214-7 DB - PRIME DP - Unbound Medicine ER -