Comparison of the reliability and efficacy of LigaSure hemorrhoidectomy and a conventional Milligan-Morgan hemorrhoidectomy in the surgical treatment of grade 3 and 4 hemorrhoids
Mustafa Celalettin Haksal1, Ali Çiftci2, Çağrı Tiryaki2, Murat Burç Yazıcıoğlu2, Mehmet Özyıldız2, Selim Yiğit Yıldız2
1Department of Surgery, Medipol University School of Medicine, İstanbul, Turkey
2Department of Surgery, Kocaeli Derince Training and Research Hospital, Kocaeli, Turkey
Keywords: Hemorrhoids, hemorrhoidectomy, LigaSure, milligan-morgan hemorrhoidectomy
Objective: The aim of this study was to compare the clinical results of LigaSure-assisted hemorrhoidectomy and Milligan-Morgan hemorrhoidectomy as a conventional method in our clinic.
Materials and Methods: Patients who underwent LigaSure-assisted hemorrhoidectomy or conventional hemorrhoidectomy for grade 3 and 4 hemorrhoids in our clinic between 2009 and 2014 were included in this study. The patient data were reviewed by screening records. Gender, age, preoperative hemoglobin and hematocrit levels, operation time, presence of thrombosis, number of packages, hospitalization time, early and late postoperative complications, prolonged pain presence, and follow-up period were recorded.
Results: In this period, surgical interventions were performed on 365 patients diagnosed with hemorrhoids. Among these, 159 underwent LigaSure-assisted operations, while 206 were operated on by conventional methods. One hundred forty-four (39.5%) cases were female, while 221 (60.5%) cases were male. The median age of the patients was 40 (19-82) years in the LigaSure group and 41 (16-78) years in the conventional method group. The operation time was 15 (4-60) min in the LigaSure group and 20 (6-40) min in the conventional method group. Postoperative analgesics were given to the 182 (88.3%) cases in the conventional group and 107 (67.3%) cases in the LigaSure group. The time required for returning to normal daily activity was 6 (1-15) days in the LigaSure group and 7 (1-30) days in the conventional method group.
Conclusion: In this study, LigaSure was determined to be superior to a conventional method in terms of operation time, hospitalization period, postoperative analgesic requirements, time required for returning to normal daily activity, and postoperative bleeding.
Cite this paper as: Haksal MC, Çiftci A, Tiryaki Ç, Yazıcıoğlu MB, Özyıldız M, Yıldız SY. Comparison of the reliability and efficacy of LigaSure hemorrhoidectomy and a conventional Milligan- Morgan hemorrhoidectomy in the surgical treatment of grade 3 and 4 hemorrhoids. Turk J Surg 2017; 33: 233-236.
Authors declared that the research was conducted according to the principles of the World Medical Association Declaration of Helsinki “Ethical Principles for Medical Research Involving Human Subjects” (amended in October 2013).
Written informed consent was obtained from patients who participated in this study.
Concept - M.C.H.; Design - M.C.H., M.B.Y., Ç.T., A.Ç.; Supervision - M.C.H.; Resource - Ç.T.; Materials - M.B.Y., A.Ç.; Data Collection and/or Processing - A.Ç., Ç.T.; Analysis and/or Interpretation - A.Ç.; Literature Search - M.Ö.; Writing Manuscript - M.B.Y.; Critical Reviews - S.Y.Y.
No conflict of interest was declared by the authors.
The authors declared that this study has received no financial support.