RANDOMIZED, CLINICAL TRIAL OF LIGASURE HAEMORHOIDECTOMY VERSUS CONVENTIONAL FERGUSON HAEMORHOIDECTOMY

Aim: To compare outcome of Ligasure and Ferguson haemorhoidectomy. Methods: Eighty patients with grade III IV haemorhoids were prospectively randomized and underwent either Ligasureor Ferguson haemorhoidectomy. We documented preoperative data, perioperative, [operative time blood loss], postoperative, [pain score, analgesia, morbidity, hospital stay, healing time, anorectal manometery and patient satisfaction over 6 months]. Results: Ligasure group achieved a significant reduction in operative time, blood loss (each, P = 0.001), pain score, analgesics at 1st, 3rd, 7th day, 2nd week (all, P 0.05), hospital stay and healing time (each, P 0.05). Postoperative morbidity between both groups was insignificant. Manometeric changes (postoperative versus preoperative) were insignificant in Ligasure group (P 0.05), but in conventiona Igroup postoperative pressures were lower, resting (P, 0.0001), squeeze (P, 0.001). Also better 3rd month satisfaction was noticed in Ligasure group, p, 0.03. Conclusion: Ligasure haemorhoidectomy is superior to conventional haemorhoidectomy. Ligasure patients gain short term benefits: Reduced postoperative pain, wound healing time and better satisfaction. Cost remains the most important point against LVSS