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TO COMPARE THE OUTCOME OF HEMORRHOIDECTOMY BY LIGASURE WITH CONVENTIONAL MILLIGAN MORGAN’S HEMORRHOIDECTOMY

Imam Bakhsh, Babur Murtaza, Saria Kiran

Objectives: The basic aim of the study is to compare the outcome of hemorrhoidectomy by LigaSure with conventional Milligan Morgan’s hemorrhoidectomy. Material and methods: This cross sectionalstudy was conducted in Bahawal Victoria Hospital, Bahawalpur during Feburary 2019 to July 2019. This study was conducted with the permission of ethical committee of hospital. There were total 100 patients which were included in this study. The patients were divided into two groups. Group A includes Haemorrhoidectomy by Ligasure and group B includes Milligan Morgan Haemorrhoiectomy by using the random allocation. The procedure was carried out with the patient in lithotomy position and a minor reverse Trendelenberg angle. Results: The data were collected from 50 patients which can be divided into two groups. The mean age of both groups were 40 to 60 years. Group A included 29 cases in which 20 were having 3rddegree heamorrhoids while Group B included 21 cases in which 17 were having 3rd degree heamorrhoids. The mean operating time of Group A was 52.5 minutes with standard deviation of 11.9 while it was 36.6± 9.8 in the other group. The mean blood loss in group A was 51.92ml with standard deviation of 15.68 while it was 70.34±25.59 in group B. Conclusion: It is concluded that Ligasure hemorrhoidectomy is a sutureless, closed hemorrhoidectomy technique dependent on a modified electro-surgical unit to achieve tissue and vessel sealing. It is safe and effective, has less blood loss, postoperative pain and complications compared to conventional hemorrhoidectomy.

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