Journals / Turkish Journal of Surgery / 2017 / Cilt: 33 - Sayı: 4

Comparison of the reliability and efficacy of LigaSure hemorrhoidectomy and a conventional Milligan-Morgan hemorrhoidectomy in the surgical treatment of grade 3 and 4 hemorrhoids

Pages
233–236
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Conclusion: In this study, LigaSure was determined to be superior to a conventional method in terms of operation time, hospitalization period, postoperative analgesic requirements, time required for returning to normal daily activity, and postoperative bleeding

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Objective: The aim of this study was to compare the clinical results of LigaSure-assisted hemorrhoidectomy and Milligan-Morgan hemorrhoidectomy as a conventional method in our clinic.Materials and Methods: Patients who underwent LigaSure-assisted hemorrhoidectomy or conventional hemorrhoidectomy for grade 3 and 4 hemorrhoids in our clinic between 2009 and 2014 were included in this study.
📊
Key Findings & Data:Results: In this period, surgical interventions were performed on 365 patients diagnosed with hemorrhoids.
💡
Conclusion & Impact:Conclusion: In this study, LigaSure was determined to be superior to a conventional method in terms of operation time, hospitalization period, postoperative analgesic requirements, time required for returning to normal daily activity, and postoperative bleeding
🔬Design:Review & Systematic Survey
📍Scope:2009 Verileri
⚙️Variables:Domain Parameters

Abstract

Objective: The aim of this study was to compare the clinical results of LigaSure-assisted hemorrhoidectomy and Milligan-Morgan hemorrhoidectomy as a conventional method in our clinic.Materials and Methods: Patients who underwent LigaSure-assisted hemorrhoidectomy or conventional hemorrhoidectomy for grade 3 and 4 hemorrhoids in our clinic between 2009 and 2014 were included in this study. The patient data were reviewed by screening records. Gender, age, preoperative hemoglobin and hematocrit levels, operation time, presence of thrombosis, number of packages, hospitalization time, early and late postoperative complications, prolonged pain presence, and follow-up period were recorded. Results: In this period, surgical interventions were performed on 365 patients diagnosed with hemorrhoids. Among these, 159 underwent LigaSure-assisted operations, while 206 were operated on by conventional methods. One hundred forty-four (39.5%) cases were female, while 221 (60.5%) cases were male. The median age of the patients was 40 years in the LigaSure group and 41 years in the conventional method group. The operation time was 15 min in the LigaSure group and 20 min in the conventional method group. Postoperative analgesics were given to the 182 (88.3%) cases in the conventional group and 107 (67.3%) cases in the LigaSure group. The time required for returning to normal daily activity was 6 days in the LigaSure group and 7 days in the conventional method group. Conclusion: In this study, LigaSure was determined to be superior to a conventional method in terms of operation time, hospitalization period, postoperative analgesic requirements, time required for returning to normal daily activity, and postoperative bleeding

🔖

Cite This Article

HAKSAL, M. C., ÇİFTÇİ, A., TİRYAKİ, Ç., YAZICIOĞLU, M. B., ÖZYILDIZ, M., YILDIZ, S. Y. (2017). Comparison of the reliability and efficacy of LigaSure hemorrhoidectomy and a conventional Milligan-Morgan hemorrhoidectomy in the surgical treatment of grade 3 and 4 hemorrhoids. Turkish Journal of Surgery, Cilt: 33 - Sayı: 4, 233–236. https://ajindex.com/articles/376530

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (14)

  1. Arslani N, Patrlj L, Rajkoviç Z, Papes D, Altarac S. A randomized clinical trial comparing Ligasure versus stapled hemorrhoidectomy. Surg Laparosc Endosc Percutan Tech 2012
  2. [CrossRef] 2. Cohen Z. Symposium on outpatient anorectal procedures. Alternatives to surgical hemorrhoidectomy. Can J Surg 1985
  3. 231 3. Bullard KM, Rothenberg DA. Colon, Rectum, and Anus. In: Brunicardi F.C (ed). Swhwartz's Principles of Surgery, 8th edn. McGraw Hill, New York
  4. 2005, pp. 1055-1117. 4. Milligan ETC, Naunton Morgan C, Jones L, Officer R. Surgical anatomy of the anal canal, and the operative treatment of hemorrhoids. Lancet 1937
  5. [CrossRef] 5. Ferguson JA, Heaton JR. Closed hemorrhoidectomy. Dis Colon Rectum 1959
  6. 179 [CrossRef] 6. Ho YH, Cheong WK, Tsang C, Ho J, Eu KW, Tang CL, et al. Stapled hemorrhoidectomy-cost and effectiveness. Randomized, controlled trial including incontinence scoring, anorectal manometry, and endoanal ultrasound assessments at up to three months. Dis Colon Rectum 2000
  7. [CrossRef] 7. Khanna R, Khanna S, Bhadani S, Singh S, Khanna AK. Comparison of Ligasure Hemorrhoidectomy with Conventional Ferguson's Hemorrhoidectomy. Indian J Surg 2010
  8. [CrossRef] 8. Kennedy JS, Stranahan PL, Taylor KD, Chandler JG. High-burst strength, feedback controlled bipolar vessel sealing. Surg Endosc 1998
  9. [CrossRef] 9. Milito G, Cadeddu F, Muzi MG, Nigro C, Farinon AM. Haemorrhoidectomy with Ligasure vs conventional excisional techniques: meta-analysis of randomized controlled trials. Colorectal Dis 2010
  10. [CrossRef] 10. Nienhuijs S, de Hingh I. Conventional versus Ligasure hemorrhoidectomy for patients with symptomatic Hemorrhoids. Cochrane Database Syst Rev 2009
  11. CD006761. [CrossRef] 11. Mastakov MY, Buettner PG, Ho YH. Updated meta-analysis of randomized controlled trials comparing conventional excisional haemorrhoidectomy with Ligasure for haemorrhoids. Tech Coloproctol 2008
  12. [CrossRef] 12. Peker K, İnal A, Güllü H, Gül D, Sahin M, Özcan AD, et al. Comparison of Vessel Sealing Systems with Conventional. Iranian Red Crescent Medical Journal 2013
  13. [CrossRef] 13. Gentile M, De Rosa M, Carbone G, Vincenzo P, Mosella F, Forestieri P. Ligasure Haemorrhoidectomy versus Conventional Diathermy for IV-Degree Haemorrhoids: Is It the Treatment of Choise? A Randomized, Clinical Trial. ISRN Gastroenterology 2011
  14. Article ID 467258. 14. Tan KY, Zin T, Sim