A Double-Blind, Randomized Trial Comparing LigasureTM and Harmonic ScalpelTM Hemorrhoidectomy

Kwok, Sui-Yi; Chung, C. C.; Tsui, K K; Li, M. K. W.

doi:10.1007/s10350-004-0845-z

Cited by 84 publications

(63 citation statements)

References 22 publications

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“…With Milligan-Morgan technique patients were incapacitated for 3 weeks while with the tissue sealing method; patients resumed daily activity after a week [6]. Comparison of Ligasure™ with Harmonic Scalpel™ for hemorrhoidectomy has found that the operative time and postoperative pain were lesser with Ligasure™ [7].…”

Section: Discussionmentioning

confidence: 99%

Comparison of Ligasure Hemorrhoidectomy with Conventional Ferguson’s Hemorrhoidectomy

Khanna

Bhadani

et al. 2010

Indian J Surg

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Section: Discussionmentioning

confidence: 99%

Comparison of Ligasure Hemorrhoidectomy with Conventional Ferguson’s Hemorrhoidectomy

Khanna

Bhadani

et al. 2010

Indian J Surg

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“…Although the data about venous closure are lacking, this system can be used to close veins up to 12 mm [23] . Kwok et al [24] showed that the LigaSure sealing system can treat grades 3 and 4 of hemorrhoids.…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic and open splenectomy and azygoportal disconnection for portal hypertension

Jiang

Zhao²,

Hong³

et al. 2009

WJG

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AIM:To compare the outcomes of laparoscopic and open splenectomy and azygoportal devascularization for portal hypertension. METHODS:From June 2006 to March 2009, laparoscopic splenectomy and azygoportal disconnection (LSD) were performed on 28 patients with cirrhosis, bleeding due to portal hypertension, and secondary hypersplenism. Success was achieved in 26 patients. Demographic, intraoperative, and postoperative variables of the patients were compared. RESULTS:Success of laparoscopic splenectomy and azygoportal disconnection was achieved in all but two patients (7.14%) who required open splenectomy and azygoportal devascularization (OSD). The operation time was significantly longer in patients undergoing LSD than in those undergoing OSD (235 ± 36 min vs 178 ± 47 min, P < 0.05). The estimated intraoperative blood loss was much more in patients receiving OSD than in those receiving LSD (420 ± 50 mL vs 200 ± 30 mL, P < 0.01). The proportion of patients undergoing laparoscopic and open splenectomy and azygoportal disconnection who received transfusion of packed red blood cells during or after the operation was 23.08% and 38.46%, respectively (P < 0.05). The time of first oral intake was faster in patients after LSD than in those after OSD (1.5 ± 0.7 d vs 3.5 ± 1.6 d, P < 0.05). The hospital stay of patients after LSD was shorter than that of patients after OSD (6.5 ± 2.3 d vs 11.7 ± 4.5 d, P < 0.05). The pain requiring medication was less severe in patients after LSD than in those after OSD (7.69% vs 73.08%, P < 0.001). The overall complication rate was lower in patients after LSD than in those after OSD (19.23% vs 42.31%, P < 0.05). CONCLUSION:Laparoscopic splenectomy and azygoportal disconnection are the feasible, effective, and safe surgical procedure, and are advantageous over minimally invasive surgery for bleeding portal hypertension and hypersplenism.

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“…Compared to conventional or ultrasonic scalpels, operating time is shorter, hospital stays are shorter, and there is less blood loss and postoperative pain. However, in terms of postoperative pain, bleeding, and incontinence, no significant difference has been reported [127][128][129][130][131] . Nonetheless, there are issues that include the risk of postoperative anal stricture due to excessive excision and high costs.…”

Section: ) Vessel Sealing System (Vss)mentioning

confidence: 97%

Japanese Practice Guidelines for Anal Disorders I. Hemorrhoids

Yamana

2017

J Anus Rectum Colon

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The pathogenesis of hemorrhoids is a weakening of the anal cushion and spasm of the internal sphincter. Bowel habits and lifestyles can be risk factors for hemorrhoids. The prevalence of hemorrhoids can encompass 4 to 55% of the population. Symptoms include bleeding, pain, prolapsing, swelling, itching, and mucus soiling. The diagnosis of hemorrhoids requires taking a thorough history and conducting an anorectal examination. Goligher's classification, which indicates the degree of prolapsing with internal hemorrhoids, is useful for choosing treatment. Drug therapy for hemorrhoids is typically utilized for bleeding, pain, and swelling. Ligation and excision (LE) is considered for Grade III and IV internal and external hemorrhoids. Rubber band ligation is used to treat up to Grade III internal hemorrhoids. Phenol almond oil is effective for internal hemorrhoids up to Grade III, while aluminum potassium sulfate and tannic acid have shown efficacy in treating prolapsing in internal hemorrhoids at Grades II, III, and IV. Procedure for prolapse and hemorrhoids (PPH) is surgically effective for Grade III internal hemorrhoids; however, the long-term prognosis is not favorable, with high recurrence rates. Separating ligation is effective surgical treatment for internal/external hemorrhoids Grade III and Grade IV. The basic approach to thrombosed external hemorrhoids and incarcerated hemorrhoids is conservative treatment; however, in some acute or severe cases, surgical resection is considered. Comparing the different instruments used for hemorrhoid surgery, all reduce operating time, blood loss, post-operative pain, and length of time until the return to normal activity. They do, of course, increase the cost of the procedure.

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A Double-Blind, Randomized Trial Comparing LigasureTM and Harmonic ScalpelTM Hemorrhoidectomy

Abstract: Ligasure hemorrhoidectomy reduces the postoperative pain and operating time compared to the Harmonic Scalpel hemorrhoidectomy. It is a safe, effective procedure for treating Grade 3 and 4 hemorrhoids.

Cited by 84 publications

References 22 publications

Comparison of Ligasure Hemorrhoidectomy with Conventional Ferguson’s Hemorrhoidectomy

Comparison of Ligasure Hemorrhoidectomy with Conventional Ferguson’s Hemorrhoidectomy

Laparoscopic and open splenectomy and azygoportal disconnection for portal hypertension

Japanese Practice Guidelines for Anal Disorders I. Hemorrhoids

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