COMPARATIVE STUDY BETWEEN LIGASURE-ASSISTED HEMORRHOIDECTOMY VERSUS STAPLED HEMORRHOIDECTOMYز

Document Type : Preliminary preprint short reports of original research

Authors

1 Surgery Department, Faculty of Medicine, Alexandria University

2 General Surgery Department - Gastrointestinal Unit, Faculty of Medicine, University of Alexandria

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

4 Upper GIT and Liver Surgery Unit (B), Surgery Department, 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. Different studies showed that about 5%-10% of patients suffering from hemorrhoids do not respond to conservative treatments, so surgical procedures become the treatment of choice in such cases. The most common conventional surgical treatment are Milligan-Morgan (open) and Fergusons with electro-cautery hemorrhoidectomy (closed).
In an effort to improve surgical outcomes and reduce postoperative complications, new surgical methods were implemented.

AIM:
The aim of the present work was to compare between Ligasure assisted hemorrhoidectomy and stapled hemorrhoidectomy as regarding post operative pain, bleeding and hospital stay.
PATIENTS AND METHODS:
In this prospective randomized controlled study divided in to two equal groups at the Gastrointestinal surgery unit of the Alexandria Main University Hospital between November 1st, 2022, and August 2024, were included. Excluded from the study were patients with Grade 1 hemorrhoids, Grade 2 hemorrhoids, Portal hypertension, Uncontrolled diabetes and Inflammatory bowel disease. Data collection was done using a standardized data collection form to identify the difference between both techniques.

Keywords