A double-blind, randomized trial comparing Ligasure and Harmonic Scalpel hemorrhoidectomy

Area of Science:

• Colorectal Surgery
• Minimally Invasive Procedures
• Hemorrhoid Treatment

Background:

• Post-hemorrhoidectomy pain is a significant clinical challenge.
• Novel surgical techniques aim to mitigate postoperative discomfort.
• Comparing energy devices is crucial for optimizing patient outcomes.

Purpose of the Study:

• To compare the efficacy of Ligasure hemorrhoidectomy versus Harmonic Scalpel hemorrhoidectomy.
• To evaluate postoperative pain and analgesic requirements.
• To assess secondary outcomes including operative time and patient satisfaction.

Main Methods:

• Double-blind, randomized controlled trial involving patients with Grade 3 and 4 hemorrhoids.
• Patients were randomized to either Ligasure or Harmonic Scalpel hemorrhoidectomy.
• Primary outcomes: pain scores and analgesic use; Secondary outcomes: operative time, blood loss, complications, and patient satisfaction.

Main Results:

• Ligasure group showed significantly lower postoperative pain scores (median 2.6 vs. 4.8) and analgesic requirements (median 5 vs. 13).
• Operating time was significantly reduced with Ligasure (median 11 vs. 18 minutes).
• No significant differences were observed in hospital stay, patient satisfaction, or complication rates.

Conclusions:

• Ligasure hemorrhoidectomy offers a significant reduction in postoperative pain and operative time compared to Harmonic Scalpel hemorrhoidectomy.
• The Ligasure technique is a safe and effective option for managing Grade 3 and 4 hemorrhoids.
• This comparative study highlights Ligasure's advantages in patient recovery.