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Updated meta-analysis of randomized controlled trials comparing conventional excisional haemorrhoidectomy with LigaSure for haemorrhoids.
Tech Coloproctol. 2008 Sep; 12(3):229-39.TC

Abstract

BACKGROUND

To compare the surgical outcome of haemorrhoidectomy performed using LigaSure bipolar diathermy with conventional haemorrhoidectomy.

METHODS

Only randomized and alternate allocated studies were included from the major electronic databases using the search terms "ligasure" and "haemorrhoids". Duration of operation, blood loss during operation, postoperative pain score, wound healing, in-hospital stay, time to return to normal activities and complications were assessed.

RESULTS

The 11 trials contained a total of 1,046 patients; the largest study was based on 273 patients and two earlier studies were based on 34 patients. No significant gender mismatch between the groups was reported in any of the studies. The patients' ages were similar between groups in the studies, as was disease severity. All 11 studies reported a shorter duration of the operation when using LigaSure compared to the conventional technique (p<0.001). The postoperative pain score (p=0.001) and blood loss during operation (p=0.001) were significantly reduced. After LigaSure haemorrhoidectomy wound healing (p=0.004) and the return to normal activities (p=0.001) were significantly faster than after conventional haemorrhoidectomy. However, the overall incidence of complications reported was not significantly different (p=0.056).

CONCLUSIONS

LigaSure is an effective instrument for haemorrhoidectomy which results in less blood loss, quicker wound healing and earlier return to work.

Authors+Show Affiliations

Department of Surgery School of Medicine, James Cook University, The Townsville Hospital, Townsville, Queensland 4814, Australia.No affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Meta-Analysis

Language

eng

PubMed ID

18679571

Citation

Mastakov, M Y., et al. "Updated Meta-analysis of Randomized Controlled Trials Comparing Conventional Excisional Haemorrhoidectomy With LigaSure for Haemorrhoids." Techniques in Coloproctology, vol. 12, no. 3, 2008, pp. 229-39.
Mastakov MY, Buettner PG, Ho YH. Updated meta-analysis of randomized controlled trials comparing conventional excisional haemorrhoidectomy with LigaSure for haemorrhoids. Tech Coloproctol. 2008;12(3):229-39.
Mastakov, M. Y., Buettner, P. G., & Ho, Y. H. (2008). Updated meta-analysis of randomized controlled trials comparing conventional excisional haemorrhoidectomy with LigaSure for haemorrhoids. Techniques in Coloproctology, 12(3), 229-39. https://doi.org/10.1007/s10151-008-0426-6
Mastakov MY, Buettner PG, Ho YH. Updated Meta-analysis of Randomized Controlled Trials Comparing Conventional Excisional Haemorrhoidectomy With LigaSure for Haemorrhoids. Tech Coloproctol. 2008;12(3):229-39. PubMed PMID: 18679571.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Updated meta-analysis of randomized controlled trials comparing conventional excisional haemorrhoidectomy with LigaSure for haemorrhoids. AU - Mastakov,M Y, AU - Buettner,P G, AU - Ho,Y-H, Y1 - 2008/08/05/ PY - 2008/05/08/received PY - 2008/06/13/accepted PY - 2008/8/6/pubmed PY - 2009/1/7/medline PY - 2008/8/6/entrez SP - 229 EP - 39 JF - Techniques in coloproctology JO - Tech Coloproctol VL - 12 IS - 3 N2 - BACKGROUND: To compare the surgical outcome of haemorrhoidectomy performed using LigaSure bipolar diathermy with conventional haemorrhoidectomy. METHODS: Only randomized and alternate allocated studies were included from the major electronic databases using the search terms "ligasure" and "haemorrhoids". Duration of operation, blood loss during operation, postoperative pain score, wound healing, in-hospital stay, time to return to normal activities and complications were assessed. RESULTS: The 11 trials contained a total of 1,046 patients; the largest study was based on 273 patients and two earlier studies were based on 34 patients. No significant gender mismatch between the groups was reported in any of the studies. The patients' ages were similar between groups in the studies, as was disease severity. All 11 studies reported a shorter duration of the operation when using LigaSure compared to the conventional technique (p<0.001). The postoperative pain score (p=0.001) and blood loss during operation (p=0.001) were significantly reduced. After LigaSure haemorrhoidectomy wound healing (p=0.004) and the return to normal activities (p=0.001) were significantly faster than after conventional haemorrhoidectomy. However, the overall incidence of complications reported was not significantly different (p=0.056). CONCLUSIONS: LigaSure is an effective instrument for haemorrhoidectomy which results in less blood loss, quicker wound healing and earlier return to work. SN - 1123-6337 UR - https://www.unboundmedicine.com/medline/citation/18679571/Updated_meta_analysis_of_randomized_controlled_trials_comparing_conventional_excisional_haemorrhoidectomy_with_LigaSure_for_haemorrhoids_ L2 - https://dx.doi.org/10.1007/s10151-008-0426-6 DB - PRIME DP - Unbound Medicine ER -