Mahendra Singh


Hemorrhoids is the most common surgical problem in Indian population. Grade 1and 2 are usually treated conservatively. Grade 3 and 4 are symptomatic piles need surgery. Surgical option for grade 3, and 4 piles are Milligan Morgan open hemorrhoidectomy, Ferguson hemorrhoidectomy. These techniques are associated with high complication rate like postoperative bleeding, post operative pain, abscess formation at surgical site, anal stenosis and anal incontinence. Ligasure hemorrhoidectomy is a new technique for the treatment of grade 3,4 piles with less morbidity. It is easy to perform, with shorter operative time, less post operative pain, less bleeding, shorter hospital stay. Fifty patient of grade 3,4 piles were operated with this technique and result were documented in the form of surgery time, blood loss, post operative pain and hospital stay, surgical site infection, incontinence. Sevearity of pain was documented by using VAS score.


Hemorrhoids, Haemorrhoidectomy, Ligasure, Stapler haemorrhoidectomy.


Armstrong DN, Ambroze WL, Schertzer ME, and Orangio GR. (2001). “Harmonic Scalpel®vs. electrocautery hemorrhoidectomy: a prospective evaluation”, Dis Colon Rectum, Vol.44, pp.558–564.

Chung YC, and Wu HJ. (2003). “Clinical Experience of Sutureless Closed Hemorrhoidectomy with LigaSure”, Dis Colon Rectum, Vol.46(1), pp.87–92.

Ganio E, Altomare DF, Gabrielli F, Milito G, and Canuti S. (2001). “Post operative randomized multicentric trial comparing stapled with open haemorrhoidectomy”, Br J Surg, Vol.88(5), pp.669–674.

Gentile M, De Rosa M, Pilone V, Mosella F, and Forestieri P. (2011). “Surgical treatment for IV-degree hemorrhoids:LigaSure™hemorroidectomy vs. conventional diathermy. A prospective, randomized trial”, Minerva Chir, Vol.66(3), pp.207–213.

Khan S, Pawlak SE, Eggenberger JC, Lee CS, Szilagy EJ, and Wu JS, et al. (2001). “Surgical treatment of hemorrhoids: prospective, randomized trial comparing closed excisional hemorrhoidectomy and the Harmonic Scalpel technique of excisional hemorrhoidectomy”, Dis Colon Rectum, Vol.44(6), pp.845–849.

Milito G, Cadeddu F, Muzi MG, Nigro C, and Farinon AM. (2010). “Haemorrhoidectomy with Ligasure vs conventional excisional techniques:meta-analysis of randomized controlled trials”, Colorectal Dis, Vol.12(2), pp.85–93.

Muzi MG, Milito G, Nigro C, Cadeddu F, Andreoli F, and Amabile D, et al. (2007). “Randomized clinical trial of LigaSure and conventional diathermy haemorrhoidectomy”, Br J Surg, Vol.94, pp.937–942.

Pernice LM, Bartalucci B, Bencini L, Borri A, Catarzi S, and Kroning K. (2001). “Early and late (ten years) experience with circular stapler hemorrhoidectomy”, Dis Colon Rectum, Vol.44, pp.836–841.

Sakr MF, and Moussa MM. (2010). “LigaSure hemorrhoidectomy versus stapled Hemorrhoidopexy:a prospective, randomized clinical trial”, Dis Colon Rectum, Vol.53(8), pp.1161–1167.

Tan JJ, and Seow-Choen F. (2001). “Prospective, randomized trial comparing diathermy and Harmonic Scalpel®hemorrhoidectomy”, Dis Colon Rectum, Vol.44, pp.677–679.


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