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Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy01:26

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy

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Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
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Related Experiment Video

Updated: Mar 13, 2026

Laparoscopic Non-Mesh Cerclage Pectopexy for Pelvic Organ Prolapse
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LigasureTM hemorrhoidectomy: how we do.

Giovanni Milito1, Giorgio Lisi2, Elena Aronadio1

  • 1Department of Surgery, University Hospital of Tor Vergata, Rome, Italy.

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Ligasure hemorrhoidectomy is an effective treatment for severe hemorrhoids. Careful technique minimizes complications like pain and anal stricture, ensuring good long-term outcomes.

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Area of Science:

  • Colorectal Surgery
  • Minimally Invasive Procedures
  • Hemorrhoid Treatment

Background:

  • Hemorrhoidectomy is the gold standard for advanced hemorrhoids (grades 3-4).
  • Milligan-Morgan and Ferguson are common techniques.
  • Ligasure vessel sealing offers a modern approach.

Purpose of the Study:

  • To present a surgical technique using Ligasure vessel sealing for hemorrhoidectomy.
  • To analyze technical aspects and surgical tricks.
  • To evaluate outcomes in a large patient cohort with long-term follow-up.

Main Methods:

  • 1000 patients with grades 3-4 hemorrhoids underwent Ligasure hemorrhoidectomy (June 2001-June 2014).
  • Assessed: operating time, pain, hospital stay, complications, healing, return to activity.
  • Follow-up at 1 week, 1, 6, 12 months, and a 60-month telephone interview/questionnaire.

Main Results:

  • Mean follow-up of 7 years; 110 patients lost to follow-up.
  • Early complications: 2.1% urinary retention, 0.3% minor bleeding.
  • Late complications: 4% anal fissure, 1.1% incomplete healing, 0.3% fistulas, 0.4% abscesses.
  • Seven-year outcomes: 7.8% recurrence, 4% anal stenosis.

Conclusions:

  • Rigorous adherence to technical guidelines and correct device application are crucial.
  • Feared late complications, including fecal incontinence and anal stricture, can be minimized.
  • Ligasure hemorrhoidectomy, when performed correctly, offers a safe and effective treatment option.