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Related Concept Videos

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Related Experiment Video

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Bloodless Laparoscopic Partial Splenectomy Assisted by Bipolar Radiofrequency Excision Hemostatic Device
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How I do it: Submucosal hemorrhoidectomy with advanced bipolar technology-modified Parks' method.

Sergey K Efetov1, Akmalbek A Otabekov1, Aleksandra Y Koziy1

  • 1Department of Faculty Surgery N2 of N.V. Sklifosovsky Clinical Medicine Institute, I.M. Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russian Federation.

Turkish Journal of Surgery
|August 20, 2025
PubMed
Summary

This study presents a modified submucosal hemorrhoidectomy using LigaSure™ technology for stage III hemorrhoidal disease. The technique preserves anal canal mucosa, potentially reducing pain and hospital stays.

Keywords:
Minimal invasive surgeryproctologyrectum

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Area of Science:

  • Colorectal Surgery
  • Minimally Invasive Procedures
  • Hemorrhoidal Disease Treatment

Background:

  • Park's submucosal hemorrhoidectomy is minimally invasive but underutilized.
  • Hemorrhoidal disease affects a significant portion of the population.
  • Current treatments vary in efficacy and invasiveness.

Purpose of the Study:

  • To evaluate a modified submucosal hemorrhoidectomy technique.
  • To assess the combination of Park's method with LigaSure™ bipolar technology.
  • To determine the safety and efficacy of this combined approach for stage III hemorrhoidal disease.

Main Methods:

  • A patient with stage III hemorrhoidal disease underwent surgery using subarachnoid anesthesia and the Lloyd Davis position.
  • External hemorrhoids were lifted to expose internal hemorrhoids.
  • LigaSure™ bipolar technology was used for submucosal dissection and hemorrhoidal artery ligation, preserving mucosa.

Main Results:

  • The modified technique resulted in three small anoderm incisions with complete preservation of the anal canal mucosa.
  • Hemorrhoidal tissue was excised and arteries ligated without sutures.
  • The procedure was performed on a patient with stage III hemorrhoidal disease.

Conclusions:

  • This modified submucosal hemorrhoidectomy with LigaSure™ is a promising approach for hemorrhoidal disease.
  • The technique preserves anal canal mucosa, potentially leading to less postoperative pain.
  • Shorter hospital stays and rapid recovery are potential benefits of this sutureless, minimally invasive method.