Comparison of Efficacy Between Conventional Excisional Technique and Ligasure® for Haemorrhoids- An Observational Study PC01-PC04
A3/1506, Cherry County, Techzone 4, Greater Noida West, Uttar Pradesh, India.
Introduction: LigasureĀ® is a new modern device used in a variety of surgery, with demonstrable advantages over conventional hand-tying technique.
Aim: To compare the use of the LigasureĀ® device and conventional excisional technique in the treatment of prolapsing haemorrhoids (grade III and IV) and compare the postoperative complications of each in a prospective randomised controlled study.
Materials and Methods: A prospective study was conducted on 66 patients from November 2012 to September 2014, admitted to hospitals attached to Kasturba Medical College, Mangalore. The patients were divided using convenient sampling into two groups of 33 patients each having Grade III and IV haemorrhoids and were operated using conventional excisional technique and LigasureĀ®. Postoperative pain, bleeding, urinary retention, faecal incontinence, number of days to return to work and complications was assessed and analysed using SPSS v18 and independent sample t-test.
Results: LigasureĀ® was statistically superior for postoperative pain 12 hours after surgery (6.34 vs 6.97), at 1st bowel movement (5.43 vs 6.03) and 1 week (3.57 vs 4.54). One patient had faecal incontinence which resolved within one day of surgery. One patient had anal stenosis 2 weeks postsurgery which resolved by conservative means. The number of days for the patient to be pain-free was better for LigasureĀ® (7.9 vs 11.1 days). Patient in LigasureĀ® group also had lower use of analgesic days (6.34 vs 10.51 days), had fewer patients postoperative bleeding (12 vs 23 patients) and the patient returned faster to work (9.97 vs 12.94).
Conclusion: LigasureĀ® haemorrhoidectomy, demonstrated reduced postoperative pain, use of analgesic, postoperative bleed and the patient returned faster to work