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[Ligasure vs conventional diathermy in excisional haemorrhoidectomy: a retrospective study of a single center].
Acta Gastroenterol Latinoam. 2013 Dec; 43(4):284-7.AG

Abstract

INTRODUCTION

Hemorrhoids are a prolapse of vasculopathic structures that cushion the anal canal and haemorrhoidectomy is the most effective treatment for grades III and IV In this retrospective study we compare the outcome after haemorrhoidectomy with Ligasure or with conventional diathermy.

METHODS

From June 2005 to March 2009 we analyzed 75 patients affected by hemorrhoids (grades III and IV) who underwent haemorrhoidectomy in the University Hospital Arnau de Vilanova in Lleida. We evaluated the technique, the age and the sex, and compared the post-operative hospital stay, the post-operative pain and the complications with each of the techniques.

RESULTS

We used Ligasure technique in 49 patients (65%) and conventional diathermy technique in 26 (35%). The mean age was 50.3 years. There was no significant difference in both postoperative length ofstay, with an average of2.13 days (P = 0.60), and postoperative pain in the first 15 days (P = 0.275). On the contrary, we found a significant difference in the rate of postoperative complications (P = 0.032) and in the post-surgical pain at one month (P = 0.03).

CONCLUSIONS

In our experience the Ligasure haemorrhoidectomy has shown to have fewer complications and post-operative pain when compared with conventional diathermy haemorrhoidectomy.

Authors+Show Affiliations

Unidad de Cirugía Colorectal, Servicio de Cirugía General, Hospital Universitario Aranu de Vilanova de Lleida, HUAV, Lleida-España. davide.papis@gmail.comUnidad de Cirugia General, Clinica Universitaria Reina Fabiola, Cordoba-Argentina.Unidad de Cirugía Colorectal, Servicio de Cirugía General, Hospital Universitario Aranu de Vilanova de Lleida, HUAV, Lleida-España.Unidad de Cirugía Colorectal, Servicio de Cirugía General, Hospital Universitario Aranu de Vilanova de Lleida, HUAV, Lleida-España.Unidad de Cirugía Colorectal, Servicio de Cirugía General, Hospital Universitario Aranu de Vilanova de Lleida, HUAV, Lleida-España.Unidad de Cirugía Colorectal, Servicio de Cirugía General, Hospital Universitario Aranu de Vilanova de Lleida, HUAV, Lleida-España.Unidad de Cirugía Colorectal, Servicio de Cirugía General, Hospital Universitario Aranu de Vilanova de Lleida, HUAV, Lleida-España.Unidad de Cirugía Colorectal, Servicio de Cirugía General, Hospital Universitario Aranu de Vilanova de Lleida, HUAV, Lleida-España.

Pub Type(s)

English Abstract
Journal Article
Observational Study

Language

spa

PubMed ID

24516953

Citation

Papis, Davide, et al. "[Ligasure Vs Conventional Diathermy in Excisional Haemorrhoidectomy: a Retrospective Study of a Single Center]." Acta Gastroenterologica Latinoamericana, vol. 43, no. 4, 2013, pp. 284-7.
Papis D, Parodi M, Herrerías F, et al. [Ligasure vs conventional diathermy in excisional haemorrhoidectomy: a retrospective study of a single center]. Acta Gastroenterol Latinoam. 2013;43(4):284-7.
Papis, D., Parodi, M., Herrerías, F., Sánchez, A., Gómez, L., Sierra, J. E., Fermiñán, A., & Olsina, J. J. (2013). [Ligasure vs conventional diathermy in excisional haemorrhoidectomy: a retrospective study of a single center]. Acta Gastroenterologica Latinoamericana, 43(4), 284-7.
Papis D, et al. [Ligasure Vs Conventional Diathermy in Excisional Haemorrhoidectomy: a Retrospective Study of a Single Center]. Acta Gastroenterol Latinoam. 2013;43(4):284-7. PubMed PMID: 24516953.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Ligasure vs conventional diathermy in excisional haemorrhoidectomy: a retrospective study of a single center]. AU - Papis,Davide, AU - Parodi,Matías, AU - Herrerías,Fernando, AU - Sánchez,Ana, AU - Gómez,Luis, AU - Sierra,José Enrique, AU - Fermiñán,Antonio, AU - Olsina,Jorge Juan, PY - 2014/2/13/entrez PY - 2014/2/13/pubmed PY - 2014/4/25/medline SP - 284 EP - 7 JF - Acta gastroenterologica Latinoamericana JO - Acta Gastroenterol Latinoam VL - 43 IS - 4 N2 - INTRODUCTION: Hemorrhoids are a prolapse of vasculopathic structures that cushion the anal canal and haemorrhoidectomy is the most effective treatment for grades III and IV In this retrospective study we compare the outcome after haemorrhoidectomy with Ligasure or with conventional diathermy. METHODS: From June 2005 to March 2009 we analyzed 75 patients affected by hemorrhoids (grades III and IV) who underwent haemorrhoidectomy in the University Hospital Arnau de Vilanova in Lleida. We evaluated the technique, the age and the sex, and compared the post-operative hospital stay, the post-operative pain and the complications with each of the techniques. RESULTS: We used Ligasure technique in 49 patients (65%) and conventional diathermy technique in 26 (35%). The mean age was 50.3 years. There was no significant difference in both postoperative length ofstay, with an average of2.13 days (P = 0.60), and postoperative pain in the first 15 days (P = 0.275). On the contrary, we found a significant difference in the rate of postoperative complications (P = 0.032) and in the post-surgical pain at one month (P = 0.03). CONCLUSIONS: In our experience the Ligasure haemorrhoidectomy has shown to have fewer complications and post-operative pain when compared with conventional diathermy haemorrhoidectomy. SN - 0300-9033 UR - https://www.unboundmedicine.com/medline/citation/24516953/[Ligasure_vs_conventional_diathermy_in_excisional_haemorrhoidectomy:_a_retrospective_study_of_a_single_center]_ L2 - https://medlineplus.gov/hemorrhoids.html DB - PRIME DP - Unbound Medicine ER -