Randomized Controlled Trial of LigaSure with Submucosal Dissection versus Ferguson Hemorrhoidectomy for Prolapsed Hemorrhoids

Wang, Jaw‐Yuan; Lu, Chien‐Yu; Tsai, Hsiang-Lin; Chen, Fang‐Ming; Huang, Che-Jen; Huang, Yu‐Sheng; Huang, Tsung-Jen; Hsieh, Jan-Sing

doi:10.1007/s00268-005-0297-1

Cited by 71 publications

(90 citation statements)

References 25 publications

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“…10,11 Comparing early complication rates, nine cases in conventional hemorrhoidectomy method (5 bleeding and 4 acute urinary retention) and five cases in the vessel sealing group (2 bleeding, 2 urinary retention and 1 perianal abscess) These patients were managed conservatively and there was no need for redo surgery. These findings are in consistent with the studies of Filingeri et al and Wang et al 12,13 Our findings reveals that there was no difference in the time required for the first bowel movement and in hospital stay between two groups which is in accordance with Gentile et al, study which concluded that there was no difference in hospital stay since patients were discharged 24±2 hours after the operation in both groups, and delayed discharges were registered in two cases of each group (III postoperative day) due to minor bleeding (2 conventional vs 1 vessel seal hemorrhoidectomy) and acute urinary retention (1 vessel seal hemorrhoidectomy) (P = 1 NS). 9 In our experience only one case of anal stenosis was detected and the incidence seems to be in line with the data of the literature (4-5%).…”

Section: Discussionsupporting

confidence: 83%

A comparison study between vessel sealing technique and conventional (Milligan Morgan) excisional hemorrhoidectomy

et al. 2016

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Section: Discussionsupporting

confidence: 83%

A comparison study between vessel sealing technique and conventional (Milligan Morgan) excisional hemorrhoidectomy

et al. 2016

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“…However, we were not able to confirm these favorable results as reported in previous published studies [5,8,[15][16][17][18][19][20][21][22][23][24]. Most of these laparoscopic studies involved bowel surgery and compared LigaSure with ultrasonic devices [8,16,19,20].…”

Section: Discussioncontrasting

confidence: 56%

Perioperative outcomes using LigaSure™ compared to conventional bipolar instruments in laparoscopic salpingo-oophorectomy: a randomized controlled trial

et al. 2012

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Background The aim of this study was to compare the effects of LigaSure TM versus conventional bipolar techniques on operating time and blood loss during laparoscopic salpingo-oophorectomy in a randomized controlled trial. Methods In three teaching hospitals, 100 women undergoing a laparoscopic salpingo-oophorectomy were randomized for LigaSure or conventional bipolar instruments. Primary outcome was operating time (from initial skin incision to removal of the specimen). Secondary outcome measures were total operating time (from initial skin incision to skin closure), time to dissect the ovarian and infundibulopelvic ligaments, intraoperative blood loss, and subjective judgment of the instrument used.Results There were no differences in operating time and total operating time using LigaSure versus conventional bipolar instruments: 41.0 vs. 39.2 min (p = 0.78; 95 % CI = -10.9 to 14.5) and 54.6 vs. 58.6 min (p = 0.46; 95 % CI = -14.8 to 6.8), respectively. The mean blood loss using LigaSure versus conventional bipolar instruments was 38 vs. 33 mL (p = 0.73; 95 % CI = -22.7 to 32.2). Various subjective efficacy and instrument handling parameters of the two instruments varied among participating centers. Conclusion There were no significant differences in operating time and blood loss with the use of LigaSure compared to conventional bipolar instruments during laparoscopic salpingo-oophorectomy, even after correction for potential confounders.

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“…Pain following hemorrhoidectomy is a common occurrence, and studies have evaluated the use of LigaSure in hemorrhoidectomy [69][70][71][72][73][74]. In a Cochrane Review comparing conventional hemorrhoidectomy to LigaSure, there was a trend for less pain and a lower incidence of complications associated with LigaSure, but most results were not significantly different [71].…”

Section: Complicationsmentioning

confidence: 99%

Evaluation and management of hemorrhoids: Italian society of colorectal surgery (SICCR) consensus statement

Trompetto¹,

Clerico²,

Cocorullo

et al. 2015

Tech Coloproctol

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Hemorrhoids are one of the most common medical and surgical diseases and the main reason for a visit to a coloproctologist. This consensus statement was drawn up by the Italian society of colorectal surgery in order to provide practice parameters for an accurate assessment of the disease and consequent appropriate treatment. The authors made a careful search in the main databases (MEDLINE, PubMed, Embase and Cochrane), and all results were classified on the basis of the grade of recommendation (A-C) of the American College of Chest Physicians.

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Randomized Controlled Trial of LigaSure with Submucosal Dissection versus Ferguson Hemorrhoidectomy for Prolapsed Hemorrhoids

Cited by 71 publications

References 25 publications

A comparison study between vessel sealing technique and conventional (Milligan Morgan) excisional hemorrhoidectomy

A comparison study between vessel sealing technique and conventional (Milligan Morgan) excisional hemorrhoidectomy

Perioperative outcomes using LigaSure™ compared to conventional bipolar instruments in laparoscopic salpingo-oophorectomy: a randomized controlled trial

Evaluation and management of hemorrhoids: Italian society of colorectal surgery (SICCR) consensus statement

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