Document Detail


Randomized clinical trial of Ligasure versus conventional diathermy for day-case haemorrhoidectomy.
MedLine Citation:
PMID:  11952582     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Haemorrhoidectomy is frequently associated with postoperative pain and prolonged hospital stay. A new technique of haemorrhoidectomy using the Ligasure device suited to day-case surgery is described. This technique was compared with conventional open diathermy haemorrhoidectomy. METHODS: Forty patients with grade III or IV haemorrhoids were randomized to Ligasure (group 1) or conventional diathermy (group 2) haemorrhoidectomy. Operative details were recorded and patients recorded daily pain scores on a linear analogue scale. Follow-up was at 1, 3, 6 and 12 weeks to evaluate complications, return to normal activity, ongoing symptoms and patient satisfaction. RESULTS: Reduced intraoperative blood loss (median (range) 0 (0-5) ml versus 20 (12-22) ml; P < 0.001) and a shorter operating time (10 (8-11) versus 20 (18-25) min; P < 0.001) was observed in group 1 compared with group 2. More patients in group 1 were discharged on the day of operation (18 of 20 versus 11 of 20; P < 0.05) and there was a trend towards lower postoperative pain scores on day 1 (group 1 median 5 (95 per cent confidence interval (c.i.) 2.6 to 6.8) versus group 2 7 (95 per cent c.i. 4.2 to 7.7); P = 0.36). There was no difference between the two groups in the degree of patient satisfaction or number of postoperative complications. CONCLUSION: Ligasure diathermy may be used safely in the treatment of patients with grade III or IV haemorrhoids. It reduces intraoperative blood loss and operating time, and facilitates same-day discharge.
Authors:
D G Jayne; I Botterill; N S Ambrose; T G Brennan; P J Guillou; D S O'Riordain
Publication Detail:
Type:  Clinical Trial; Journal Article; Randomized Controlled Trial    
Journal Detail:
Title:  The British journal of surgery     Volume:  89     ISSN:  0007-1323     ISO Abbreviation:  Br J Surg     Publication Date:  2002 Apr 
Date Detail:
Created Date:  2002-04-15     Completed Date:  2002-05-23     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0372553     Medline TA:  Br J Surg     Country:  England    
Other Details:
Languages:  eng     Pagination:  428-32     Citation Subset:  AIM; IM    
Affiliation:
Academic Surgical Unit, St James's University Hospital and University of Leeds, Leeds, UK.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Ambulatory Surgical Procedures / methods*
Electrocoagulation / methods*
Fecal Incontinence / etiology
Female
Fissure in Ano / etiology
Hemorrhoids / surgery*
Humans
Intraoperative Care / methods
Length of Stay
Ligation / methods
Male
Middle Aged
Pain, Postoperative / etiology
Patient Satisfaction
Preoperative Care / methods
Time Factors
Urinary Retention / etiology

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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