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09 May 2017
Thoracic paravertebral block (TPB) can be administered for VATS (video-assisted thoracic surgery) method and often used for analgesic purposes and provides good results. Awake VATS (AVATS) has been


Performing hemorrhoidectomy with LigaSure™ vessel sealing system is a rapid and simple new technique.
The aim of this study was to evaluate LigaSure™ hemorrhoidectomy (LH) to open hemorrhoidectomy (OH) performed by the conventional diathermy. 
One hundred and sixteen patients with grades III and IV hemorrhoids were prospectively randomized to either LigaSure™ or open conventional diathermy hemorrhoidectomy. Primary end point was postoperative pain. Secondary end points were operative time, blood loss, complications, need for analgesics and time to achieve complete wound healing. 
Multivisceral Resection for Colo-rectal cancers: An analysis of Prognostic factors and outcomes
The LigaSure™ group achieved a significant reduction in operative time, blood loss, first postoperative day pain score, seventh day pain score and overall pain score. Patients in the LigaSure™ group required less pethidine analgesia on the first postoperative day. Time to achieve complete wound healing were shorter in the LigaSure™ group. There was no difference in postoperative complications. 
LigaSure hemorrhoidectomy provides a valid alternative to conventional hemorrhoidectomy. Based on our results, further studies addressing long-term functional results are needed to prove that LigaSure™ hemorrhoidectomy is the ideal method of hemorrhoidectomy for the patients.
Wagih Mommtaz Ghnnam1
1) General Surgery Department, Mansoura Faculty of Medicine, Mansoura University, Egypt.

Disclosure: The author has declared no conflicts of interest.

Received: 14.07.16 Accepted: 04.08.16

Citation: 10.5455/ijsm.hemorrhoids-ligasure

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How to Cite this Article

Ghnnam, W. (2017). PROSPECTIVE, RANDOMIZED CONTROLLED TRIAL OF LIGASURETM VERSUS CONVENTIONAL HEMORRHOIDECTOMY FOR GRADE III AND IV HEMORRHOIDS. International Journal of Surgery and Medicine, [online] 3(1). Available at: http://10.5455/ijsm.hemorrhoids-ligasure [Accessed 18 Mar. 2017].

Last modified onWednesday, 27 December 2017 10:25

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