Haemorrhoidectomy by Ligasure and Conventional Surgery

Assiut University

Status: Unknown

Conditions: Ligature; Hemorrhage

Treatments: Procedure: Conventional haemorrhoidectomy; Procedure: ligasure haemroidectomy

Study type: Interventional

Funder types: Other

Identifiers

NCT03265990

ligaHaemorrhoidectomy

Details and patient eligibility

About

Comparison between Haemorrhoidectomy by Ligasure and conventional surgery

Full description

Hemorrhoids, a varicose condition are one of the commonest illnesses which causes per rectal bleeding . Hemorrhoidectomy is the standard operation for grades III and IV hemorrhoids; it is superior to any proposed conservative procedure. Conventional haemorrhoidectomy is the open surgical procedure in which the haemorrhoid pedicle is ligated by a transfixing suture which may lead to some postoperative complications mostly pain, bleeding and wound infection which ultimately cause prolonged stay in hospital.

A number of surgeons believe that by avoiding vascular pedicle ligation the chances of secondary bleeding can be decreased .This stimulated the researchers to develop new techniques with a less severe course and faster recovery . Recent advances in instrumental technology including the bipolar electrothermal device, ultrasonic scalpel, and circular stapler are gaining popularity as effective alternatives in hemorrhoidectomy . Of these instruments, the LigaSure vessel sealing system has been recently introduced as a tool conceived to upgrade the conventional treatment of haemorrhoids. This reduces anal spasm and allows performing a bloodless haemorrhoidectomy with reduced post- operative pain and fast healing . .Thus this operation can be recommended as the ideal technique. Many trials were performed to compare LigaSure hemorrhoidectomy with conventional hemorrhoidectomy, although an overall favorable trend exists toward LigaSure, conclusions are not univocal and definitive; this creates some uncertainty, also considering the increasing cost for this disposable device: thus it is essential to keep on experimenting to determine whenever an actual advantage exists.

Enrollment: 40 estimated patients

Sex: All

Ages: 18 to 70 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• all patients with ages between 18 to 70 years with symptomatic grade III, or IV hemorrhoid who will be operated on at the Department of general Surgery, Assuit University Hospital

Exclusion criteria

• age older than 70 years
• patients with Grade I and II haemorrhoids
• patients on anticoagulants
• patients with liver cirrhosis
• patients with the hematological disorder
• patients with the concomitant anal disease
• patients had previous history of anorectal surgery

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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40 participants in 2 patient groups

Group A

Experimental group

Description:

Conventional haemrrhoidectomy,Ferguson technique

Treatment:

Procedure: Conventional haemorrhoidectomy

Group B

Experimental group

Description:

Ligasure haemorrhoidectomy

Treatment:

Procedure: ligasure haemroidectomy