Sorour, M., Kassem, M., Sabry, A., Hamdy, N. (2021). COMPARISON BETWEEN LIGASURE™ ASSISTED HEMORRHOIDECTOMY AND MILLIGAN-MORGAN HEMORRHOIDECTOMY. ALEXMED ePosters, 3(4), 87-88. doi: 10.21608/alexpo.2021.103820.1303
Magdy Akel Sorour; Mohamed Ibrahim Kassem; Ahmed Abdelfattah Sabry; Nour Amr Hamdy. "COMPARISON BETWEEN LIGASURE™ ASSISTED HEMORRHOIDECTOMY AND MILLIGAN-MORGAN HEMORRHOIDECTOMY". ALEXMED ePosters, 3, 4, 2021, 87-88. doi: 10.21608/alexpo.2021.103820.1303
Sorour, M., Kassem, M., Sabry, A., Hamdy, N. (2021). 'COMPARISON BETWEEN LIGASURE™ ASSISTED HEMORRHOIDECTOMY AND MILLIGAN-MORGAN HEMORRHOIDECTOMY', ALEXMED ePosters, 3(4), pp. 87-88. doi: 10.21608/alexpo.2021.103820.1303
Sorour, M., Kassem, M., Sabry, A., Hamdy, N. COMPARISON BETWEEN LIGASURE™ ASSISTED HEMORRHOIDECTOMY AND MILLIGAN-MORGAN HEMORRHOIDECTOMY. ALEXMED ePosters, 2021; 3(4): 87-88. doi: 10.21608/alexpo.2021.103820.1303
COMPARISON BETWEEN LIGASURE™ ASSISTED HEMORRHOIDECTOMY AND MILLIGAN-MORGAN HEMORRHOIDECTOMY
1Department of Surgery, Faculty of Medicine, Alexandria University
2Department of Git surgery, faculty of medicine, Alexandria university
3Department 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.