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Surgical Outcomes of LigaSure Hemorrhoidectomy in the Elderly Population: A retrospective cohort study
Chuang-Wei Chen1,2, Tzung-Ju Lu1, Koung-Hung Hsiao3
1Division of Colon and Rectal Surgery, Department of Surgery, Taipei Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, No. 289, Jianguo Rd., Sindian City, Taipei County, 231, Taiwan (R.O.C.).
Insights
Elderly patients (65+) undergoing LigaSure hemorrhoidectomy show similar short-term outcomes and complication rates compared to younger patients. This hemorrhoid treatment is safe and effective across age groups.
Area of Science:
- Colorectal Surgery
- Surgical Outcomes Research
- Geriatric Surgery
Background:
- Hemorrhoidectomy is a common surgical procedure.
- Assessing age-related differences in surgical outcomes is crucial for patient care.
- The LigaSure hemorrhoidectomy is a widely used technique.
Purpose of the Study:
- To evaluate the association between patient age and outcomes following hemorrhoidectomy.
- To compare the safety and efficacy of LigaSure hemorrhoidectomy in elderly versus younger patients.
Main Methods:
- Population-based cohort study utilizing a retrospective database.
- Inclusion of 1238 patients undergoing LigaSure hemorrhoidectomy (Jan 2015 - May 2017).
- Comparison of patients aged 65 and older (n=163) versus those younger than 65 (n=1075) on baseline characteristics and surgical outcomes.
Main Results:
- No significant differences observed between age groups in sex, hemorrhoid grade, operation time, hospital stay, postoperative pain, analgesic use, complication rates, readmission, or reoperation.
- Multivariate logistic regression analysis confirmed no significant difference in postoperative complications between the elderly and younger groups.
- All patients tolerated the procedure well without anesthetic-related complications.
Conclusions:
- LigaSure hemorrhoidectomy is a safe and effective procedure for elderly patients.
- Short-term operative outcomes and complication rates are comparable between elderly and younger patients undergoing this procedure.
Background:
This study aims to assess the association between age and outcomes in patients undergoing hemorrhoidectomy.
Methods:
This is a population-based cohort study. A retrospectively collected database with consecutive patients whose symptomatic prolapsed hemorrhoids managed by the LigaSure hemorrhoidectomy between Jan. 2015 and May 2017 was reviewed. Among 1238 patients, 1075 were under 65 years old (group 1), and 163 were 65 years old or older (group 2). Both groups were compared regarding baseline characteristics and surgical outcomes.
Results:
All patients tolerated the whole course of the operation in the prone jackknife position without anesthetic-associated complications. There was no significant difference between these two groups regarding sex, hemorrhoids grade, operation time, duration of hospital stays, postoperative pain score, analgesic consumption, total postoperative complications, re-admission rate, reoperation rate and follow-up times. The multivariate logistic regression analysis that may contribute to postoperative complications revealed no significant difference for all complications between both groups.
Conclusion:
The LigaSure hemorrhoidectomy for elderly patients is safe and effective without significant difference in short-term operative outcomes and all complication rates, compared with younger patients.
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