Comparison of Perioperative Outcomes : Conventional Milligan Morgan Hemorrhoidectomy Versus Ligasure Assisted Hemorrhoidectomy
Objective: Outcomes based comparison between Milligan Morgan hemorrhoidectomy and ligasure assisted hemorrhoidectomy. Study Design: Experimental Interventional. Place and Duration of Study: Surgery department of Holy Family Hospital between December 2021 and May 2022. Duration of study is six months...
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| Format: | Article |
| Language: | English |
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Riphah International University, Islamabad
2023-09-01
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| Series: | Journal of Islamic International Medical College |
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| Online Access: | https://journals.riphah.edu.pk/index.php/jiimc/article/view/1699 |
| _version_ | 1827808080732094464 |
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| author | Adil Shafi , Mumtaz Ahmad Khan , Salman Habib Abbasi , Saira Mahmood , Muneeb Ullah , Muhammad Faisal Murad |
| author_facet | Adil Shafi , Mumtaz Ahmad Khan , Salman Habib Abbasi , Saira Mahmood , Muneeb Ullah , Muhammad Faisal Murad |
| author_sort | Adil Shafi , Mumtaz Ahmad Khan , Salman Habib Abbasi , Saira Mahmood , Muneeb Ullah , Muhammad Faisal Murad |
| collection | DOAJ |
| description | Objective: Outcomes based comparison between Milligan Morgan hemorrhoidectomy and ligasure assisted hemorrhoidectomy.
Study Design: Experimental Interventional.
Place and Duration of Study: Surgery department of Holy Family Hospital between December 2021 and May 2022. Duration of study is six months.
Materials and Methods: After informed consent, 44 patients were enrolled and equally divided in two groups. Sample size was calculated in context to another local study. The Group A underwent ligasure assisted hemorrhoidectomy while Group B underwent conventional Milligan Morgan hemorrhoidectomy. Comparison between the groups was done for operative time, postoperative pain, analgesia requirement and duration of hospital stay. Data analysis was done using Statistical Package for Social Sciences (SPSS) version 23.
Results: Patients had mean age of 36.56 ± 11.9 years with male dominance 31 (70.5%). Group A had lesser operative time in minutes when compared to Group B (11.64 ± 1.94 vs 19.55 ± 2.28, p<0.001). Postoperative pain calculated using numeric rating scale was less severe in Group A versus Group B at 12 hours (4.55±1.26 vs 6.91±0.87, p<0.001) and at 24 hours (3.00±1.07 vs 4.41±1.05, p<0.001). 90.5 % patients were discharged in 12 hours in Group A while only 4.5% were discharged in 12 hours in Group B. Overall hospital stay was more in
Group B (p<0.001).
Conclusion: Hemorrhoidectomy using ligasure for pedicle coagulation is better than Milligan Morgan hemorrhoidectomy in terms of operative time, postoperative pain and duration of hospital stay. |
| first_indexed | 2024-03-11T22:06:26Z |
| format | Article |
| id | doaj.art-ef947a290ad847758a139417f07c4943 |
| institution | Directory Open Access Journal |
| issn | 1815-4018 2410-5422 |
| language | English |
| last_indexed | 2024-03-11T22:06:26Z |
| publishDate | 2023-09-01 |
| publisher | Riphah International University, Islamabad |
| record_format | Article |
| series | Journal of Islamic International Medical College |
| spelling | doaj.art-ef947a290ad847758a139417f07c49432023-09-25T04:45:24ZengRiphah International University, IslamabadJournal of Islamic International Medical College1815-40182410-54222023-09-011832142172096Comparison of Perioperative Outcomes : Conventional Milligan Morgan Hemorrhoidectomy Versus Ligasure Assisted HemorrhoidectomyAdil Shafi , Mumtaz Ahmad Khan , Salman Habib Abbasi , Saira Mahmood , Muneeb Ullah , Muhammad Faisal Murad0Maroof International HospitalObjective: Outcomes based comparison between Milligan Morgan hemorrhoidectomy and ligasure assisted hemorrhoidectomy. Study Design: Experimental Interventional. Place and Duration of Study: Surgery department of Holy Family Hospital between December 2021 and May 2022. Duration of study is six months. Materials and Methods: After informed consent, 44 patients were enrolled and equally divided in two groups. Sample size was calculated in context to another local study. The Group A underwent ligasure assisted hemorrhoidectomy while Group B underwent conventional Milligan Morgan hemorrhoidectomy. Comparison between the groups was done for operative time, postoperative pain, analgesia requirement and duration of hospital stay. Data analysis was done using Statistical Package for Social Sciences (SPSS) version 23. Results: Patients had mean age of 36.56 ± 11.9 years with male dominance 31 (70.5%). Group A had lesser operative time in minutes when compared to Group B (11.64 ± 1.94 vs 19.55 ± 2.28, p<0.001). Postoperative pain calculated using numeric rating scale was less severe in Group A versus Group B at 12 hours (4.55±1.26 vs 6.91±0.87, p<0.001) and at 24 hours (3.00±1.07 vs 4.41±1.05, p<0.001). 90.5 % patients were discharged in 12 hours in Group A while only 4.5% were discharged in 12 hours in Group B. Overall hospital stay was more in Group B (p<0.001). Conclusion: Hemorrhoidectomy using ligasure for pedicle coagulation is better than Milligan Morgan hemorrhoidectomy in terms of operative time, postoperative pain and duration of hospital stay.https://journals.riphah.edu.pk/index.php/jiimc/article/view/1699hemorrhoidectomy, ligasure, milligan morgan, operative time, pain. |
| spellingShingle | Adil Shafi , Mumtaz Ahmad Khan , Salman Habib Abbasi , Saira Mahmood , Muneeb Ullah , Muhammad Faisal Murad Comparison of Perioperative Outcomes : Conventional Milligan Morgan Hemorrhoidectomy Versus Ligasure Assisted Hemorrhoidectomy Journal of Islamic International Medical College hemorrhoidectomy, ligasure, milligan morgan, operative time, pain. |
| title | Comparison of Perioperative Outcomes : Conventional Milligan Morgan Hemorrhoidectomy Versus Ligasure Assisted Hemorrhoidectomy |
| title_full | Comparison of Perioperative Outcomes : Conventional Milligan Morgan Hemorrhoidectomy Versus Ligasure Assisted Hemorrhoidectomy |
| title_fullStr | Comparison of Perioperative Outcomes : Conventional Milligan Morgan Hemorrhoidectomy Versus Ligasure Assisted Hemorrhoidectomy |
| title_full_unstemmed | Comparison of Perioperative Outcomes : Conventional Milligan Morgan Hemorrhoidectomy Versus Ligasure Assisted Hemorrhoidectomy |
| title_short | Comparison of Perioperative Outcomes : Conventional Milligan Morgan Hemorrhoidectomy Versus Ligasure Assisted Hemorrhoidectomy |
| title_sort | comparison of perioperative outcomes conventional milligan morgan hemorrhoidectomy versus ligasure assisted hemorrhoidectomy |
| topic | hemorrhoidectomy, ligasure, milligan morgan, operative time, pain. |
| url | https://journals.riphah.edu.pk/index.php/jiimc/article/view/1699 |
| work_keys_str_mv | AT adilshafimumtazahmadkhansalmanhabibabbasisairamahmoodmuneebullahmuhammadfaisalmurad comparisonofperioperativeoutcomesconventionalmilliganmorganhemorrhoidectomyversusligasureassistedhemorrhoidectomy |