Comparative Study to Outcome of Conventional versus Ligasure Hemorrhoidectomy

Abstract

Ligasure hemorrhoidectomy is a stureless, closed hemorrhoidectomy technique dependent on modified electrosurgical unit to achieve tissue and vessel sealing. It is safe and effective. In this study, compared with conventional excisional hemorrhoidectomy, LigaSure hemorrhodectomy was superior and more advantageous in terms of short operative time, minimum blood loss, less postoperative pain paster wound healing and less postoperative complications. It is simple, safe, and easy to learn procedure. The major limitations for this study were the small sample size and short follow up of the patients as compared to previous studies. The basic disadvantage with the LigaSure technique in our locality is its expensive cost but this disadvantage has been noted with all new techniques. Even though encouraging preliminary results of the studies are available about this new surgical technique with less number of complications but we need to do more prospective trials comparing the two groups of Ligasure to the traditional one with large sample size and long term follow ups for recurrence to conclude its definite good efficacy, so that it will become a good option of treatment for third and fourth degree heamorrhoids. LigaSure hemorrhoidectomy could be the gold standard procedure for all symptomatic piles.