RANDOMIZED, CLINICAL TRIAL OF LIGASURE HAEMORHOIDECTOMY VERSUS CONVENTIONAL "FERGUSON" HAEMORHOIDECTOMY | ||||
| The Egyptian Journal of Surgery | ||||
| Volume 26, Issue 3, July 2007, Page 133-139 PDF (161.75 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/ejsur.2007.372312 | ||||
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| Authors | ||||
| Mohmed Fareed; Saleh El-Awady* ; Hesham Abd-El monaem; Ahmad Aly | ||||
| Colorectal Surgery Unit, Mansoura University Hospital, Mansoura, Egypt | ||||
| Abstract | ||||
| Aim: To compare outcome of Ligasure and Ferguson" haemorhoidectomy. Methods: Eighty patients with grade III & IV haemorhoids were prospectively randomized and underwent either Ligasureor "Ferguson" haemorhoidectomy. We documented preoperative data, perioperative, [operative time & blood loss], postoperative, [pain score, analgesia, morbidity, hospital stay, healing time, anorectal manometery and patient satisfaction over 6 months]. Results: Ligasure group achieved a significant reduction in operative time, blood loss (each, P = 0.001), pain score, analgesics at 1st, 3rd, 7th day, 2nd week (all, P<0.05), hospital stay and healing time (each, P < 0.05). Postoperative morbidity between both groups was insignificant. Manometeric changes {postoperative versus preoperative} were insignificant in Ligasure group (P>0.05), but in conventiona lgroup postoperative pressures were lower, resting (P, 0.0001), squeeze (P, 0.001). Also better 3rd month satisfaction was noticed in Ligasure group, p, 0.03. Conclusion: Ligasure haemorhoidectomy is superior to conventional haemorhoidectomy. Ligasure patients gain short term benefits: Reduced postoperative pain, wound healing time and better satisfaction. Cost remains the most important point against LVSS. | ||||
| Keywords | ||||
| Haemorhoids; Ligasure; Ferguson haemorhoidctomy; cost benefit | ||||
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