Closed vs ligasure hemorrhoidectomy: a prospective, randomized clinical trial

Area of Science:

• Colorectal Surgery
• Minimally Invasive Procedures
• Surgical Technology

Background:

• Hemorrhoidectomy is a common surgical procedure for advanced hemorrhoids.
• Traditional closed hemorrhoidectomy can involve significant operative time and potential complications.
• Exploring alternative techniques like Ligasure hemorrhoidectomy is crucial for improving surgical efficiency and patient outcomes.

Purpose of the Study:

• To compare the efficacy of Ligasure hemorrhoidectomy versus closed hemorrhoidectomy.
• To evaluate differences in operative time, postoperative pain, analgesic requirements, and complications.
• To determine if Ligasure hemorrhoidectomy offers advantages over the traditional closed technique.

Main Methods:

• A prospectively randomized controlled trial involving 47 patients with grade 3 or 4 hemorrhoids.
• Patients were assigned to either Ligasure hemorrhoidectomy (24 patients) or closed hemorrhoidectomy (23 patients).
• Key outcomes including operative time, pain scores, analgesic use, bleeding, and wound dehiscence were meticulously recorded and analyzed.

Main Results:

• Ligasure hemorrhoidectomy demonstrated a significantly shorter operative time (21.70 min) compared to closed hemorrhoidectomy (35.68 min) (p < 0.001).
• Despite a higher number of resected hemorrhoids in the Ligasure group, there were no statistically significant differences in postoperative pain, analgesic requirements, bleeding, or wound dehiscence.
• Demographic and clinical characteristics between the two groups were comparable, ensuring reliable comparison.

Conclusions:

• Ligasure hemorrhoidectomy is a superior technique for reducing surgical duration in hemorrhoid treatment.
• The use of Ligasure technology does not compromise patient safety or increase postoperative complications.
• This study supports Ligasure hemorrhoidectomy as an efficient and safe alternative to closed hemorrhoidectomy.