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A randomized clinical trial comparing Ligasure versus stapled hemorrhoidectomy.

Nuhi Arslani¹, Leonardo Patrlj, Zoran Rajković

¹Department of Surgery, University Clinical Center Maribor, Maribor, Slovenia.

Surgical Laparoscopy, Endoscopy & Percutaneous Techniques

|February 10, 2012

Summary

Ligasure hemorrhoidectomy (LH) offers faster wound healing for hemorrhoidal disease compared to stapled hemorrhoidectomy (SH). Both methods show similar efficacy, but SH may have a higher recurrence rate requiring further analysis.

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Area of Science:

Colorectal Surgery
Minimally Invasive Procedures
Hemorrhoidal Disease Treatment

Background:

Stapled hemorrhoidectomy (SH) and Ligasure hemorrhoidectomy (LH) are common surgical options for hemorrhoidal disease.
These techniques differ in their underlying surgical principles and application.

Purpose of the Study:

To compare the efficacy and outcomes of stapled hemorrhoidectomy (SH) versus Ligasure hemorrhoidectomy (LH) in patients with grade 3 hemorrhoidal disease.
To evaluate complication rates, recurrence, pain, wound healing, and recovery time for both procedures.

Main Methods:

A randomized clinical trial involving 98 patients with grade 3 hemorrhoidal disease.
Patients were assigned to either SH (46 patients) or LH (52 patients).
Outcomes including complications, recurrence, pain, healing time, and time off activity were monitored over a 24-month follow-up period.

Main Results:

Ligasure hemorrhoidectomy (LH) demonstrated a significantly shorter wound healing time compared to stapled hemorrhoidectomy (SH).
While not statistically significant, SH showed higher rates of recurrence (11.1% vs. 1.9%) and overall complications (23.9% vs. 13.5%) than LH.
Postoperative pain, analgesic use, and time off daily activities were comparable between the two groups.

Conclusions:

Both stapled hemorrhoidectomy (SH) and Ligasure hemorrhoidectomy (LH) are effective treatments for grade 3 hemorrhoidal disease.
Ligasure hemorrhoidectomy (LH) offers an advantage in terms of faster wound healing.
Further investigation into the recurrence rates following stapled hemorrhoidectomy (SH) is warranted.