Tags

Type your tag names separated by a space and hit enter

Randomized clinical trial comparing LigaSure haemorrhoidectomy with open diathermy haemorrhoidectomy.
Tech Coloproctol. 2008 Jun; 12(2):93-7.TC

Abstract

BACKGROUND

Milligan-Morgan excision haem-orrhoidectomy remains a very popular treatment modality for third and fourth degree haemorrhoids due to its cost effectiveness and good long-term results. The LigaSure tissue-sealing device is an alternative technique used in haemorrhoidectomy that has been shown to produce favourable results. The aim of this study was to assess the effectiveness of the LigaSure tissue sealing device in comparison with conventional diathermy haemorrhoidectomy.

METHODS

A prospective clinical trial was conducted. Patients with newly diagnosed haemorrhoids requiring haemorrhoidectomy were randomized to either LigaSure haemorrhoidectomy or diathermy haemorrhoidectomy. Surgical technique and postoperative care was standardized. Outcome measures were operative time and bleeding, postoperative pain (measured on a visual analogue scale) and rate of wound healing.

RESULTS

We randomized 44 patients, 22 to LigaSure and 22 to diathermy; 43 patients were evaluated. They were aged between 19 and 71 years. There were no differences in patient demographics or type of haemorrhoid being operated on. LigaSure haemorrhoidectomy had a significantly lower mean operative time and intraoperative bleeding. At 3 weeks after surgery, haemorrhoidectomy performed with LigaSure had an odds ratio for complete epithelialization of 3.1 over diathermy (95% CI 1.2-8.2). There was no difference in postoperative pain.

CONCLUSION

LigaSure haemorrhoidectomy is superior to diathermy for open haemorrhoidectomy.

Authors+Show Affiliations

Department of Surgery Colorectal Service, Alexandra Hospital, 378 Alexandra Road, Singapore 159964, Singapore. kokyangtan@gmail.comNo 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

18545884

Citation

Tan, K-Y, et al. "Randomized Clinical Trial Comparing LigaSure Haemorrhoidectomy With Open Diathermy Haemorrhoidectomy." Techniques in Coloproctology, vol. 12, no. 2, 2008, pp. 93-7.
Tan KY, Zin T, Sim HL, et al. Randomized clinical trial comparing LigaSure haemorrhoidectomy with open diathermy haemorrhoidectomy. Tech Coloproctol. 2008;12(2):93-7.
Tan, K. Y., Zin, T., Sim, H. L., Poon, P. L., Cheng, A., & Mak, K. (2008). Randomized clinical trial comparing LigaSure haemorrhoidectomy with open diathermy haemorrhoidectomy. Techniques in Coloproctology, 12(2), 93-7. https://doi.org/10.1007/s10151-008-0405-y
Tan KY, et al. Randomized Clinical Trial Comparing LigaSure Haemorrhoidectomy With Open Diathermy Haemorrhoidectomy. Tech Coloproctol. 2008;12(2):93-7. PubMed PMID: 18545884.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Randomized clinical trial comparing LigaSure haemorrhoidectomy with open diathermy haemorrhoidectomy. AU - Tan,K-Y, AU - Zin,T, AU - Sim,H-L, AU - Poon,P-L, AU - Cheng,A, AU - Mak,K, Y1 - 2008/06/10/ PY - 2007/12/07/received PY - 2008/03/28/accepted PY - 2008/6/12/pubmed PY - 2008/12/17/medline PY - 2008/6/12/entrez SP - 93 EP - 7 JF - Techniques in coloproctology JO - Tech Coloproctol VL - 12 IS - 2 N2 - BACKGROUND: Milligan-Morgan excision haem-orrhoidectomy remains a very popular treatment modality for third and fourth degree haemorrhoids due to its cost effectiveness and good long-term results. The LigaSure tissue-sealing device is an alternative technique used in haemorrhoidectomy that has been shown to produce favourable results. The aim of this study was to assess the effectiveness of the LigaSure tissue sealing device in comparison with conventional diathermy haemorrhoidectomy. METHODS: A prospective clinical trial was conducted. Patients with newly diagnosed haemorrhoids requiring haemorrhoidectomy were randomized to either LigaSure haemorrhoidectomy or diathermy haemorrhoidectomy. Surgical technique and postoperative care was standardized. Outcome measures were operative time and bleeding, postoperative pain (measured on a visual analogue scale) and rate of wound healing. RESULTS: We randomized 44 patients, 22 to LigaSure and 22 to diathermy; 43 patients were evaluated. They were aged between 19 and 71 years. There were no differences in patient demographics or type of haemorrhoid being operated on. LigaSure haemorrhoidectomy had a significantly lower mean operative time and intraoperative bleeding. At 3 weeks after surgery, haemorrhoidectomy performed with LigaSure had an odds ratio for complete epithelialization of 3.1 over diathermy (95% CI 1.2-8.2). There was no difference in postoperative pain. CONCLUSION: LigaSure haemorrhoidectomy is superior to diathermy for open haemorrhoidectomy. SN - 1123-6337 UR - https://www.unboundmedicine.com/medline/citation/18545884/Randomized_clinical_trial_comparing_LigaSure_haemorrhoidectomy_with_open_diathermy_haemorrhoidectomy_ L2 - https://dx.doi.org/10.1007/s10151-008-0405-y DB - PRIME DP - Unbound Medicine ER -