Randomized Controlled Trial Comparing the Effects of Vessel Sealing Device and Milligan Morgan Technique on Postoperative Pain Perception after Hemorrhoidectomy

Abstract

Background: The aim of this study was to compare postoperative pain perception after Milligan Morgan and Ligasure™ techniques in hemorrhoidectomy. Methods: Fifty-four patients diagnosed with Grade 3-4 hemorrhoids requiring surgery between May 2013 and September 2013 were enrolled in the study. Patients were randomized into either the Ligasure™ hemorrhoidectomy group (Group 1, n = 26) or the Milligan Morgan hemorrhoidectomy group (Group 2, n = 28). Results: The difference between visual analogue scale scores on postoperative day 1 was not statistically significant but on the third postoperative day, the Ligasure™ group had higher visual analogue scale scores (4 ± 2.61) when compared to the Milligan Morgan hemorrhoidectomy group (2.43 ± 1.20). This difference on the third postoperative day visual analogue scale scores was statistically significant (p < 0.025). Conclusions: Ligasure™ does not seem to have an advantage in postoperative pain when compared to Milligan Morgan hemorrhoidectomy.

Modified whitehead hemorrhoidectomy versus partial hemorrhoidectomy for fourth-degree circular mixed hemorrhoids: A retrospective analysis

“…Dietary modification, counseling regarding defecation habits and office-based procedures (banding, sclerotherapy and infrared coagulation) could help most patients relieve hemorrhoid symptoms [ 3 , 4 ]. However, for grade 3–4 hemorrhoid patients, surgical treatments are often unavoidable [ 5 , 6 ].…”

Psychological states could affect postsurgical pain after hemorrhoidectomy: A prospective cohort study

“…According to the guideline statements from different countries such as Italy (3), Japan (4), and many other countries (5)(6)(7), for patients with grade IV hemorrhoids, Milligan-Morgan open hemorrhoidectomy is still one of the standard procedures (8). The frequently encountered one after open hemorrhoidectomy is postsurgical pain (9,10). In clinical practice, the size of the surgery area and the psychological states may all affect the degree of postsurgical pain (11).…”

Efficacy of Harmonic Scalpel Versus Bipolar Diathermy in Hemorrhoidectomy: A Systematic Review and Meta-Analysis of Nine Randomized Controlled Trials

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