Ligasure vs. conventional diathermy in excisional hemorrhoidectomy: a prospective, randomized study

Area of Science:

• Colorectal Surgery
• Minimally Invasive Surgical Techniques
• Hemorrhoid Treatment

Background:

• Hemorrhoidectomy is a common surgical procedure.
• Conventional diathermy is a widely used method for hemorrhoidectomy.
• There is a need for improved surgical techniques to minimize patient discomfort and recovery time.

Purpose of the Study:

• To compare the surgical outcomes of hemorrhoidectomy using Ligasure versus conventional diathermy.
• To evaluate operative time, postoperative pain, analgesic requirements, complications, and wound healing.

Main Methods:

• A randomized controlled trial involving 110 patients undergoing hemorrhoidectomy.
• Patients were allocated to either Ligasure (55) or conventional diathermy (55) groups.
• Outcomes including operative time, pain scores, analgesic use, complications, and healing rates were assessed.

Main Results:

• Ligasure hemorrhoidectomy demonstrated significantly shorter operative times (median 8 vs. 18 minutes).
• Patients in the Ligasure group reported lower postoperative pain scores and required fewer analgesics in the first 24 hours.
• Complete wound healing at six weeks was more frequent in the Ligasure group, with no significant difference in complications.

Conclusions:

• Ligasure offers a superior alternative to conventional diathermy for hemorrhoidectomy.
• The benefits include reduced operative time, decreased postoperative pain, lower analgesic consumption, and accelerated wound healing.
• Ligasure facilitates improved patient recovery following hemorrhoid surgery.