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Randomized Controlled Trial Comparing the Effects of Vessel Sealing Device and Milligan Morgan Technique on
Mehmet Onur Gülseren1, Tolga Dinc, Vasfi Özer
1Ankara Numune Teaching Hospital General Surgery Clinic, and Corum Teaching Hospital, General Surgery Clinic, Ankara, Turkey.
Background:
The aim of this study was to compare postoperative pain perception after Milligan Morgan and Ligasure™ techniques in hemorrhoidectomy.
Methods:
Fifty-four patients diagnosed with Grade 3-4 hemorrhoids requiring surgery between May 2013 and September 2013 were enrolled in the study. Patients were randomized into either the Ligasure™ hemorrhoidectomy group (Group 1, n = 26) or the Milligan Morgan hemorrhoidectomy group (Group 2, n = 28).
Results:
The difference between visual analogue scale scores on postoperative day 1 was not statistically significant but on the third postoperative day, the Ligasure™ group had higher visual analogue scale scores (4 ± 2.61) when compared to the Milligan Morgan hemorrhoidectomy group (2.43 ± 1.20). This difference on the third postoperative day visual analogue scale scores was statistically significant (p < 0.025).
Conclusions:
Ligasure™ does not seem to have an advantage in postoperative pain when compared to Milligan Morgan hemorrhoidectomy.
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