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Ligasure versus stapled hemorrhoidectomy in the treatment of hemorrhoids: a meta-analysis of randomized control trials.
Surg Laparosc Endosc Percutan Tech. 2014 Aug; 24(4):285-9.SL

Abstract

The aim of this meta-analysis was to compare the outcomes of Ligasure hemorrhoidectomy and stapled hemorrhoidectomy for prolapsed hemorrhoids. Original studies in any language were searched from MEDLINE database, PubMed, Web of science and the Cochrane Library database, and Wangfang database. Randomized control trials that compared Ligasure hemorrhoidectomy with stapled hemorrhoidectomy were identified. Data were extracted independently for each study, and a meta-analysis was performed using fixed and random-effects models. Five trials including 397 patients met the inclusion criteria. Patients treated with Ligasure had a significantly shorter operative time compared with patients who underwent stapler techniques. The recurrence rate was higher in patients who underwent stapled hemorrhoidectomy. No statistically significant differences were observed in postoperative bleeding, urinary retention, difficult defecating, anal fissure, anal stenosis, incontinence, postoperative pain, return to normal activities, and hospital stay. Our meta-analysis shows that Ligasure is an effective instrument for hemorrhoidectomy, which results in shorter operation time and lower recurrence rate.

Authors+Show Affiliations

*Department of Gastrointestinal Surgery, The Sixth Affiliated Hospital, Sun Yat-sen University, Tianhe District †Department of Gastrointestinal and Colorectal Surgery, the First Affiliated Hospital, Sun Yat-sen University, Yuexiu District, Guangzhou, Guangdong Province, P.R. China.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Meta-Analysis
Research Support, Non-U.S. Gov't
Review

Language

eng

PubMed ID

24732739

Citation

Chen, Hong-lei, et al. "Ligasure Versus Stapled Hemorrhoidectomy in the Treatment of Hemorrhoids: a Meta-analysis of Randomized Control Trials." Surgical Laparoscopy, Endoscopy & Percutaneous Techniques, vol. 24, no. 4, 2014, pp. 285-9.
Chen HL, Woo XB, Cui J, et al. Ligasure versus stapled hemorrhoidectomy in the treatment of hemorrhoids: a meta-analysis of randomized control trials. Surg Laparosc Endosc Percutan Tech. 2014;24(4):285-9.
Chen, H. L., Woo, X. B., Cui, J., Chen, C. Q., & Peng, J. S. (2014). Ligasure versus stapled hemorrhoidectomy in the treatment of hemorrhoids: a meta-analysis of randomized control trials. Surgical Laparoscopy, Endoscopy & Percutaneous Techniques, 24(4), 285-9. https://doi.org/10.1097/SLE.0000000000000009
Chen HL, et al. Ligasure Versus Stapled Hemorrhoidectomy in the Treatment of Hemorrhoids: a Meta-analysis of Randomized Control Trials. Surg Laparosc Endosc Percutan Tech. 2014;24(4):285-9. PubMed PMID: 24732739.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Ligasure versus stapled hemorrhoidectomy in the treatment of hemorrhoids: a meta-analysis of randomized control trials. AU - Chen,Hong-lei, AU - Woo,Xiao-bin, AU - Cui,Ji, AU - Chen,Chuang-qi, AU - Peng,Jun-sheng, PY - 2014/4/16/entrez PY - 2014/4/16/pubmed PY - 2015/10/23/medline SP - 285 EP - 9 JF - Surgical laparoscopy, endoscopy & percutaneous techniques JO - Surg Laparosc Endosc Percutan Tech VL - 24 IS - 4 N2 - The aim of this meta-analysis was to compare the outcomes of Ligasure hemorrhoidectomy and stapled hemorrhoidectomy for prolapsed hemorrhoids. Original studies in any language were searched from MEDLINE database, PubMed, Web of science and the Cochrane Library database, and Wangfang database. Randomized control trials that compared Ligasure hemorrhoidectomy with stapled hemorrhoidectomy were identified. Data were extracted independently for each study, and a meta-analysis was performed using fixed and random-effects models. Five trials including 397 patients met the inclusion criteria. Patients treated with Ligasure had a significantly shorter operative time compared with patients who underwent stapler techniques. The recurrence rate was higher in patients who underwent stapled hemorrhoidectomy. No statistically significant differences were observed in postoperative bleeding, urinary retention, difficult defecating, anal fissure, anal stenosis, incontinence, postoperative pain, return to normal activities, and hospital stay. Our meta-analysis shows that Ligasure is an effective instrument for hemorrhoidectomy, which results in shorter operation time and lower recurrence rate. SN - 1534-4908 UR - https://www.unboundmedicine.com/medline/citation/24732739/Ligasure_versus_stapled_hemorrhoidectomy_in_the_treatment_of_hemorrhoids:_a_meta_analysis_of_randomized_control_trials_ L2 - https://doi.org/10.1097/SLE.0000000000000009 DB - PRIME DP - Unbound Medicine ER -