| Randomized clinical trial of Ligasure versus conventional diathermy for day-case haemorrhoidectomy. | |
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MedLine Citation:
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PMID: 11952582 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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D G Jayne; I Botterill; N S Ambrose; T G Brennan; P J Guillou; D S O'Riordain |
Publication Detail:
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Type: Clinical Trial; Journal Article; Randomized Controlled Trial |
Journal Detail:
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Title: The British journal of surgery Volume: 89 ISSN: 0007-1323 ISO Abbreviation: Br J Surg Publication Date: 2002 Apr |
Date Detail:
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Created Date: 2002-04-15 Completed Date: 2002-05-23 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 0372553 Medline TA: Br J Surg Country: England |
Other Details:
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Languages: eng Pagination: 428-32 Citation Subset: AIM; IM |
Affiliation:
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Academic Surgical Unit, St James's University Hospital and University of Leeds, Leeds, UK. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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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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