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Ligasure, Harmonic Scalpel versus conventional diathermy in excisional haemorrhoidectomy: a randomized controlled trial.
ANZ J Surg. 2017 Apr; 87(4):252-256.AJ

Abstract

BACKGROUND

This study was designed to compare the surgical outcomes of haemorrhoidectomy performed by the Ligasure, Harmonic Scalpel with that performed by the conventional diathermy.

METHODS

A total of 180 patients were randomized to Ligasure, Harmonic Scalpel and diathermy haemorrhoidectomy, 60 patients for each group. The operative time, post-operative pain scores, parenteral analgesic requirements in the first 24 h, post-operative complications and wound healing rates were documented.

RESULTS

The median operative time was 8 min (range, 7-18) for the Ligasure and Harmonic Scalpel groups and 18 min (range, 15-21) for the diathermy group (P < 0.001). Throughout the first post-operative week, the daily median pain score was lower in the Ligasure and Harmonic Scalpel groups than in the diathermy group (P < 0.001). The median number of analgesic ampoules during the first 24 h post-operatively was lower in the Ligasure and Harmonic Scalpel groups (P < 0.001). There was no statistically significant difference in the incidence of post-operative complications. At 6 weeks post-operation, more patients in the Ligasure and Harmonic Scalpel groups had complete healing of wounds (P = 0 < 0.001).

CONCLUSION

Ligasure and Harmonic Scalpel provide a superior alternative to conventional diathermy in haemorrhoidectomy with no difference between them in reducing the operative time, post-operative pain, analgesic requirements during the first 24 h and time to complete healing of wounds.

Authors+Show Affiliations

Department of Surgery, Medical Research Institute, Alexandria University, Alexandria, Egypt.Department of Surgery, Faculty of Medicine, Alexandria University, Alexandria, Egypt.Department of Biostatistics, High Institute of Public Health, Alexandria University, Alexandria, Egypt.

Pub Type(s)

Journal Article
Randomized Controlled Trial

Language

eng

PubMed ID

25214362

Citation

Talha, Ahmed, et al. "Ligasure, Harmonic Scalpel Versus Conventional Diathermy in Excisional Haemorrhoidectomy: a Randomized Controlled Trial." ANZ Journal of Surgery, vol. 87, no. 4, 2017, pp. 252-256.
Talha A, Bessa S, Abdel Wahab M. Ligasure, Harmonic Scalpel versus conventional diathermy in excisional haemorrhoidectomy: a randomized controlled trial. ANZ J Surg. 2017;87(4):252-256.
Talha, A., Bessa, S., & Abdel Wahab, M. (2017). Ligasure, Harmonic Scalpel versus conventional diathermy in excisional haemorrhoidectomy: a randomized controlled trial. ANZ Journal of Surgery, 87(4), 252-256. https://doi.org/10.1111/ans.12838
Talha A, Bessa S, Abdel Wahab M. Ligasure, Harmonic Scalpel Versus Conventional Diathermy in Excisional Haemorrhoidectomy: a Randomized Controlled Trial. ANZ J Surg. 2017;87(4):252-256. PubMed PMID: 25214362.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Ligasure, Harmonic Scalpel versus conventional diathermy in excisional haemorrhoidectomy: a randomized controlled trial. AU - Talha,Ahmed, AU - Bessa,Samer, AU - Abdel Wahab,Moataza, Y1 - 2014/09/11/ PY - 2014/07/28/accepted PY - 2014/9/13/pubmed PY - 2017/6/2/medline PY - 2014/9/13/entrez KW - Harmonic Scalpel KW - Ligasure KW - diathermy KW - haemorrhoidectomy KW - haemorrhoids SP - 252 EP - 256 JF - ANZ journal of surgery JO - ANZ J Surg VL - 87 IS - 4 N2 - BACKGROUND: This study was designed to compare the surgical outcomes of haemorrhoidectomy performed by the Ligasure, Harmonic Scalpel with that performed by the conventional diathermy. METHODS: A total of 180 patients were randomized to Ligasure, Harmonic Scalpel and diathermy haemorrhoidectomy, 60 patients for each group. The operative time, post-operative pain scores, parenteral analgesic requirements in the first 24 h, post-operative complications and wound healing rates were documented. RESULTS: The median operative time was 8 min (range, 7-18) for the Ligasure and Harmonic Scalpel groups and 18 min (range, 15-21) for the diathermy group (P < 0.001). Throughout the first post-operative week, the daily median pain score was lower in the Ligasure and Harmonic Scalpel groups than in the diathermy group (P < 0.001). The median number of analgesic ampoules during the first 24 h post-operatively was lower in the Ligasure and Harmonic Scalpel groups (P < 0.001). There was no statistically significant difference in the incidence of post-operative complications. At 6 weeks post-operation, more patients in the Ligasure and Harmonic Scalpel groups had complete healing of wounds (P = 0 < 0.001). CONCLUSION: Ligasure and Harmonic Scalpel provide a superior alternative to conventional diathermy in haemorrhoidectomy with no difference between them in reducing the operative time, post-operative pain, analgesic requirements during the first 24 h and time to complete healing of wounds. SN - 1445-2197 UR - https://www.unboundmedicine.com/medline/citation/25214362/Ligasure_Harmonic_Scalpel_versus_conventional_diathermy_in_excisional_haemorrhoidectomy:_a_randomized_controlled_trial_ L2 - https://doi.org/10.1111/ans.12838 DB - PRIME DP - Unbound Medicine ER -