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Corresponding Author

Nagaty, Mahmoud

Document Type

Original Article

Abstract

Background: Hemorrhoidectomy using the traditional method for 3rd and 4th grade piles is a time-consuming procedure that is vulnerable to many postoperative complications. The study's goal was to evaluate the consequences of Ligasure hemorrhoidectomy in comparison with a traditional hemorrhoidectomy. Patients and Methods: The current study was achieved between January 2018 to January 2020. A total of fifty patients with 3rd or 4th degree piles were separated into 2 groups. Group A contained 25 cases who were subjected to Ligasure Hemorrhoidectomy and Group B contained 25 cases who were subjected to hemorrhoidectomy by Milligan Morgan’s technique. Procedure time, the volume of lost blood, postoperative pain, duration of hospitalization, and post-procedure complications were recorded. Results: Out of 50 patients, there were 32 males and 18 females. The mean age of all patients for group A was 43 years, and for group B, was 47 years. The average procedure time in both groups was 12.5±3 min and 23.3±5.2 min respectively. The average amount of lost blood was 14.50 ml and 25.17 ml in both groups, respectively. The VAS pain scores on the 1st day and 7th day in group A were 4.1, and 1.2 respectively and in group B were 6.8, and 2.1 respectively. The duration of hospitalization was 1.4 days and, 3.2 days in both groups, respectively. Conclusion: Hemorrhoidectomy using LigaSure is a safe and effective procedure with minimal tissue trauma due to the minimal spread of thermal energy, and there is no need to use sutures.

Keywords

Hemorrhoids; LigaSure Hemorrhoidectomy; Conventional Hemorrhoidectomy

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