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Haemorrhoidectomy with Ligasure vs conventional excisional techniques: meta-analysis of randomized controlled trials.
Colorectal Dis. 2010 Feb; 12(2):85-93.CD

Abstract

OBJECTIVE

To compare the use of LigaSure devices with conventional excisional techniques, circular stapling and use of Harmonic Scalpel in patients with symptomatic haemorrhoids and to review literature on LigaSure technology (Valleylab Inc. USA).

METHOD

A literature review was performed using the National Library of Medicine's Pubmed Database using the keywords Ligasure, haemorrhoidectomy, vessel sealing technology. Randomized trials comparing LigaSure with other techniques of excisional haemorrhoidectomy with valid end points were reviewed in the present article and included in a quantitative meta-analysis.

RESULTS

There was no significant difference in the proportion of patients cured after Ligasure haemorrhoidectomy or other excisional techniques (P > 0.05). Patients treated with LigaSure had a significantly shorter operative time (P < 0.001), postoperative pain VAS Score (P < 0.001), wound healing time and time-off from work (P < 0.001), than the patients submitted to excisional techniques. Postoperative bleeding did not significantly differ between the two groups (P = 0.056); however, the surgeons observed a reduction of intra- and postoperative bleeding using LigaSure. In comparison to the circular stapler and Harmonic Scalpel the authors found similar postoperative outcomes and a slightly favourable trend for LigaSure regarding postoperative complications, ease of handling and length of the procedure.

CONCLUSION

Our meta-analysis shows that Ligasure haemorrhoidectomy is a fast procedure characterized by limited postoperative pain, short hospitalization, fast wound healing and convalescence.

Authors+Show Affiliations

Department of Surgery, University Hospital Tor Vergata, Rome, Italy. giovanni.milito@virgilio.itNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Meta-Analysis
Review

Language

eng

PubMed ID

19220374

Citation

Milito, G, et al. "Haemorrhoidectomy With Ligasure Vs Conventional Excisional Techniques: Meta-analysis of Randomized Controlled Trials." Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland, vol. 12, no. 2, 2010, pp. 85-93.
Milito G, Cadeddu F, Muzi MG, et al. Haemorrhoidectomy with Ligasure vs conventional excisional techniques: meta-analysis of randomized controlled trials. Colorectal Dis. 2010;12(2):85-93.
Milito, G., Cadeddu, F., Muzi, M. G., Nigro, C., & Farinon, A. M. (2010). Haemorrhoidectomy with Ligasure vs conventional excisional techniques: meta-analysis of randomized controlled trials. Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland, 12(2), 85-93. https://doi.org/10.1111/j.1463-1318.2009.01807.x
Milito G, et al. Haemorrhoidectomy With Ligasure Vs Conventional Excisional Techniques: Meta-analysis of Randomized Controlled Trials. Colorectal Dis. 2010;12(2):85-93. PubMed PMID: 19220374.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Haemorrhoidectomy with Ligasure vs conventional excisional techniques: meta-analysis of randomized controlled trials. AU - Milito,G, AU - Cadeddu,F, AU - Muzi,M G, AU - Nigro,C, AU - Farinon,A M, Y1 - 2009/02/07/ PY - 2009/2/18/entrez PY - 2009/2/18/pubmed PY - 2010/8/17/medline SP - 85 EP - 93 JF - Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland JO - Colorectal Dis VL - 12 IS - 2 N2 - OBJECTIVE: To compare the use of LigaSure devices with conventional excisional techniques, circular stapling and use of Harmonic Scalpel in patients with symptomatic haemorrhoids and to review literature on LigaSure technology (Valleylab Inc. USA). METHOD: A literature review was performed using the National Library of Medicine's Pubmed Database using the keywords Ligasure, haemorrhoidectomy, vessel sealing technology. Randomized trials comparing LigaSure with other techniques of excisional haemorrhoidectomy with valid end points were reviewed in the present article and included in a quantitative meta-analysis. RESULTS: There was no significant difference in the proportion of patients cured after Ligasure haemorrhoidectomy or other excisional techniques (P > 0.05). Patients treated with LigaSure had a significantly shorter operative time (P < 0.001), postoperative pain VAS Score (P < 0.001), wound healing time and time-off from work (P < 0.001), than the patients submitted to excisional techniques. Postoperative bleeding did not significantly differ between the two groups (P = 0.056); however, the surgeons observed a reduction of intra- and postoperative bleeding using LigaSure. In comparison to the circular stapler and Harmonic Scalpel the authors found similar postoperative outcomes and a slightly favourable trend for LigaSure regarding postoperative complications, ease of handling and length of the procedure. CONCLUSION: Our meta-analysis shows that Ligasure haemorrhoidectomy is a fast procedure characterized by limited postoperative pain, short hospitalization, fast wound healing and convalescence. SN - 1463-1318 UR - https://www.unboundmedicine.com/medline/citation/19220374/Haemorrhoidectomy_with_Ligasure_vs_conventional_excisional_techniques:_meta_analysis_of_randomized_controlled_trials_ L2 - https://doi.org/10.1111/j.1463-1318.2009.01807.x DB - PRIME DP - Unbound Medicine ER -