Special Issue Article
Safia Z Ahmed1, Noor ul Mubeen
Abstract
The purpose of this trial was to compare the outcome of ligasure hemorrhoidectomy with conventional hemorrhoidectomy in III- and IV-degree hemorrhoids. These two techniques are compared with postoperative pain, operative time, the time taken for the wound to heal and resuming normal activities. Methods: We conducted a many prospective randomized controlled trial. Patients were divided into two equal groups: Group A: conventional hemorrhoidectomy and Group B: ligasure hemorrhoidectomy. A single surgical operating team performed the study between April 2014 and September 2014. Patient’s selection criteria were male and female between 19 to 80 ages with III- and IV-degree hemorrhoids. The outcomes were operative time, post-operative pain, wound assessed in 3 weeks with return of normal activities. Results: 100 patients with mean age 40.73+9.8 were included and randomly assigned There came out significant difference in operative time 35.39+10.97, postoperative pain 4.1+1.71, return to normal activities 4.11+1.85 and wound healing in 3 weeks 28% vs 90% in both groups. There was equal distribution in age and gender in both groups. Conclusions: It is concluded that ligasure hemorrhoidectomy is better than conventional Milligan Morgan hemorrhoidectomy in 3rd and 4th degree hemorrhoids.