Comparison of a Vessel Sealing System with a Conventional Technique in Hemorrhoidectomy

Objective: Milligan-Morgan, Park and Ferguson hemorrhoidectomy procedures are the ones most frequently used for the surgical treatment of hemorrhoidal disease. Attempts to modify these conventional approaches are made by using different techniques or tools to decrease blood loss, and reduce operatin...

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Main Authors: Serkan Teksöz, Erman Aytaç, Nihat Yavuz, Osman Baran Tortum, Murat Özcan, Sabri Ergüney, Yusuf Bükey
Format: Article
Language:English
Published: Galenos Publishing House 2011-06-01
Series:Balkan Medical Journal
Subjects:
Online Access:http://balkanmedicaljournal.org/text.php3?id=753
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author Serkan Teksöz
Erman Aytaç
Nihat Yavuz
Osman Baran Tortum
Murat Özcan
Sabri Ergüney
Yusuf Bükey
author_facet Serkan Teksöz
Erman Aytaç
Nihat Yavuz
Osman Baran Tortum
Murat Özcan
Sabri Ergüney
Yusuf Bükey
author_sort Serkan Teksöz
collection DOAJ
description Objective: Milligan-Morgan, Park and Ferguson hemorrhoidectomy procedures are the ones most frequently used for the surgical treatment of hemorrhoidal disease. Attempts to modify these conventional approaches are made by using different techniques or tools to decrease blood loss, and reduce operating time and postoperative analgesic requirement. In this prospective randomized trial, the conventional Ferguson hemorrhoidectomy method is compared with the LigaSure® hemorrhoidectomy according to various criteria. Material and Methods: Forty patients who had grade 3-4 hemorrhoidal disease were randomly divided into two equal groups: the Ferguson Hemorrhoidectomy (n=20) and the LigaSure® hemorrhoidectomy (n=20). Operating time, demographic data, intraoperative and postoperative complications, postoperative pain, return of bowel movements and postoperative hospital stay were evaluated. The visual analogue score was used for the evaluation of pain on the first postoperative day. The patients have been followed up for at least 19 months. Results: The pain score, blood loss and operating time were significantly reduced in the LigaSure® hemorrhoidectomy group. Conclusion: LigaSure® hemorrhoidectomy is safe and feasible for the surgeon, and more comfortable than classical surgery for the patient.
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spelling doaj.art-01a48cde5d7d467d841d4d2a6746698b2023-02-15T16:07:32ZengGalenos Publishing HouseBalkan Medical Journal2146-31232146-31312011-06-012802189192Comparison of a Vessel Sealing System with a Conventional Technique in HemorrhoidectomySerkan TeksözErman AytaçNihat YavuzOsman Baran TortumMurat ÖzcanSabri ErgüneyYusuf BükeyObjective: Milligan-Morgan, Park and Ferguson hemorrhoidectomy procedures are the ones most frequently used for the surgical treatment of hemorrhoidal disease. Attempts to modify these conventional approaches are made by using different techniques or tools to decrease blood loss, and reduce operating time and postoperative analgesic requirement. In this prospective randomized trial, the conventional Ferguson hemorrhoidectomy method is compared with the LigaSure® hemorrhoidectomy according to various criteria. Material and Methods: Forty patients who had grade 3-4 hemorrhoidal disease were randomly divided into two equal groups: the Ferguson Hemorrhoidectomy (n=20) and the LigaSure® hemorrhoidectomy (n=20). Operating time, demographic data, intraoperative and postoperative complications, postoperative pain, return of bowel movements and postoperative hospital stay were evaluated. The visual analogue score was used for the evaluation of pain on the first postoperative day. The patients have been followed up for at least 19 months. Results: The pain score, blood loss and operating time were significantly reduced in the LigaSure® hemorrhoidectomy group. Conclusion: LigaSure® hemorrhoidectomy is safe and feasible for the surgeon, and more comfortable than classical surgery for the patient.http://balkanmedicaljournal.org/text.php3?id=753LigaSure®Ferguson hemorrhoidectomyclosed hemorrhoidectomyfollow uprandomized prospective study
spellingShingle Serkan Teksöz
Erman Aytaç
Nihat Yavuz
Osman Baran Tortum
Murat Özcan
Sabri Ergüney
Yusuf Bükey
Comparison of a Vessel Sealing System with a Conventional Technique in Hemorrhoidectomy
Balkan Medical Journal
LigaSure®
Ferguson hemorrhoidectomy
closed hemorrhoidectomy
follow up
randomized prospective study
title Comparison of a Vessel Sealing System with a Conventional Technique in Hemorrhoidectomy
title_full Comparison of a Vessel Sealing System with a Conventional Technique in Hemorrhoidectomy
title_fullStr Comparison of a Vessel Sealing System with a Conventional Technique in Hemorrhoidectomy
title_full_unstemmed Comparison of a Vessel Sealing System with a Conventional Technique in Hemorrhoidectomy
title_short Comparison of a Vessel Sealing System with a Conventional Technique in Hemorrhoidectomy
title_sort comparison of a vessel sealing system with a conventional technique in hemorrhoidectomy
topic LigaSure®
Ferguson hemorrhoidectomy
closed hemorrhoidectomy
follow up
randomized prospective study
url http://balkanmedicaljournal.org/text.php3?id=753
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