OUTCOME AND EFFICACY OF LIGASURE HEMORROIDECTOMY

Mahendra Singh

Abstract


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.

Keywords


Hemorrhoids, Haemorrhoidectomy, Ligasure, Stapler haemorrhoidectomy.

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