Comparative study of Ligasure Haemorrhoirdectomy with conventional Milligan-Morgan Haemorrhoidectomy

Abstract

AIM: Comparison of Ligasure hemorrhoidectomy with conventional Milligan Morgan hemorrhoidectomy for the treatment of grade III and IV hemorrhoids. Material and Methods: The current study was achieved between December 2020 to December 2022. A total of 64 Patients of grade III and IV hemorrhoids were randomized into two groups, Group A- Ligasure hemorrhoidectomy (32 patients) and Group B- Milligan Morgan hemorrhoidectomy (32 patients). The hemorrhoidal predicle was coagulated with Ligasure in Group A and transfixed with 1/0 Vicryl in Group B. Procedure time, the amount of lost blood, postoperative pain, and duration of hospitalization were recorded. Result: Out of 64 patients, there were 38 males and 26 females. The mean age of all patients for group A was 42 years, and for group B, was 48 years. The average procedure time in both group A was 23.6±8 min and in group B 53.5±9 min respectively. The average amount of lost blood was 12.50 ml in group A and 29.40 ml in group B. The VAS pain scores on the 0 day and 7th day in group A were 4.8, and 1.2 respectively and in group B were 7.2, and 2.6 respectively. The duration of hospitalization was 1.4 days and, 3.2 days in both groups, respectively. Conclusion: The submucosal dissection technique with Ligasure coagulation of the hemorrhoidal pedicle is safe and effective. Suturing is not required as the mucosal tissue over the pedicle is sealed off with the current. There is minimal lateral spread of either thermal or electrical energy. Because of its ease of use and less postoperative pain and complication Ligasure hemorrhoidectomy can be preformed as a day-care procedure.