COMPARISON BETWEEN LIGASURE™ ASSISTED HEMORRHOIDECTOMY AND MILLIGAN-MORGAN HEMORRHOIDECTOMY

Document Type : Preliminary preprint short reports of original research

Authors

1 Department of Surgery, Faculty of Medicine, Alexandria University

2 Department of Git surgery, faculty of medicine, Alexandria university

3 Department ofGit surgery , faculty of medicine, alexandria university.

Abstract

Hemorrhoids are one of the most common anorectal disorders with a reported prevalence of 4.4% up to 36.4% of general population. The peak prevalence occurs between 45 and 65 years of age. The most common conventional surgical treatment are Milligan-Morgan (open) and Fergusons with electro-cautery hemorrhoidectomy (closed).
Compared with the scissors excision- ligation technique in Milligan-Morgan operation, diathermy and LigaSure™ were reported to have faster recovery and less pain.
The LigaSure™ Vessel Sealing System has been recently introduced as an instrument conceived to upgrade the conventional treatment of haemorrhoids: it consists of a bipolar electrothermal device which offers an optimised combination of pressure and radiofrequency, sealing blood vessels up to 7 mm in diameter and generating an energy tailored to the tissue impedance, with a thermal injury confined to 2 mm over the surgical site. This limited spread reduces anal spasm and allows to perform a bloodless haemorrhoidectomy with reduced postoperative pain and fast healing. Thus this operation can be recommended as the ideal technique because of the potential reduction in tissue trauma.

Keywords

ALEXMED ePosters
Volume 3, Issue 4
December 2021
Pages 87-88

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