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Laparoscopic Non-Mesh Cerclage Pectopexy for Pelvic Organ Prolapse

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[Ligasure haemorrhoidectomy. Personal experience].

Massimiliano Mistrangelo¹, Baudolino Mussa, Raffaele Brustia

¹Università degli Studi di Torino, Dipartimento di Chirurgia e Centro di Chirurgia Mini-invasiva, Italy. mistrangelo@katamail.com

Annali Italiani Di Chirurgia

|February 6, 2010

Summary

The Ligasure system offers a safe and effective alternative for haemorrhoidectomy, reducing postoperative pain and promoting faster healing in patients with severe haemorrhoids. This technique shows promise in improving patient outcomes following surgical intervention.

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Area of Science:

Colorectal Surgery
Minimally Invasive Surgical Techniques
Gastrointestinal Disease Management

Background:

Haemorrhoidal disease affects a significant portion of the population over 40.
Surgical intervention, specifically haemorrhoidectomy, is indicated for advanced prolapsing haemorrhoids (grades 3 and 4).
Postoperative pain remains a significant challenge following conventional haemorrhoidectomy, driving the search for improved techniques.

Purpose of the Study:

To evaluate the efficacy and safety of the Ligasure system for haemorrhoidectomy.
To compare the Ligasure system with conventional diathermy techniques (Milligan Morgan) in treating haemorrhoids.
To assess postoperative pain, complications, and healing times associated with both methods.

Main Methods:

A comparative study involving 50 patients with grade 3 or 4 haemorrhoids.
25 patients underwent Ligasure Haemorrhoidectomy (Study Group).
25 patients underwent Milligan Morgan haemorrhoidectomy using diathermy (Control Group).

Main Results:

No significant differences in operating time, patient demographics, or early/late complications were observed between the groups.
The Ligasure group demonstrated a partial reduction in postoperative pain.
Faster healing of surgical scars was noted in the Ligasure group compared to the diathermy group.

Conclusions:

Ligasure Haemorrhoidectomy is a safe and viable option for treating advanced haemorrhoids.
The Ligasure technique may lead to reduced postoperative oedema and accelerated scar healing.
This method appears to achieve comparable safety profiles to conventional diathermy without increasing complications.