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Haemorrhoidectomy by Ligasure and Conventional Surgery

Not Applicable
Conditions
Ligature; Hemorrhage
Interventions
Procedure: ligasure haemroidectomy
Procedure: Conventional haemorrhoidectomy
Registration Number
NCT03265990
Lead Sponsor
Assiut University
Brief Summary

Comparison between Haemorrhoidectomy by Ligasure and conventional surgery

Detailed 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.

Recruitment & Eligibility

Status
UNKNOWN
Sex
All
Target Recruitment
40
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
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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
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Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Group Bligasure haemroidectomyLigasure haemorrhoidectomy
Group AConventional haemorrhoidectomyConventional haemrrhoidectomy,Ferguson technique
Primary Outcome Measures
NameTimeMethod
Post operative pain1 month

pain will be evaluated with visual analogue scale

Secondary Outcome Measures
NameTimeMethod
Wound healing2 months

the healing of mucosa and skin

Intra operative blood loss1 day

Amount of blood loss by cc during surgery

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