Bakhtiar Nighat, Moosa Foad Ali, Jaleel Farhat, Qureshi Naeem Akhtar, Jawaid Masood
Dr. Nighat Bakhtiar, MBBS. Post Graduate General Surgery Fellowship trainee, Department of Surgery, Dow International Medical College/ Dow University Hospital, Dow University of Health Sciences, Karachi, Pakistan. Department of Surgery, Dow International Medical College/ Dow University Hospital, Dow University of Health Sciences, Karachi, Pakistan.
Prof. Foad Ali Moosa, MBBS, FRCS. Professor & Head, Department of Surgery, Dow International Medical College/ Dow University Hospital, Dow University of Health Sciences, Karachi, Pakistan.
Pak J Med Sci. 2016 May-Jun;32(3):657-61. doi: 10.12669/pjms.323.9976.
To compare the efficacy of haemorrhoidectomy done by using LigaSure with conventional Milligan Morgan haemorrhoidectomy.
This randomized controlled trial was done at Department of Surgery Dow University Hospital Karachi during January 2013 to September 2015. A total of 55 patients were included in the study. Patients were randomly allocated to group A (Haemorrhoidectomy by Ligasure) and group B (Milligan Morgan Haemorrhoiectomy). Efficacies of both procedures were compared by operative time, Blood loss, wound healing, and pain score on immediate, 1st and 7(th) post operative day.
Out of total 55 patients 23 were male and 32 were females. The most common group of age involved was between 40 - 60 years. Third degree Heamorrhoids were present in 37 (67.3%) of patients while remaining 18 (32.7%) had fourth degree Heamorrhoids. Group A included 29 cases while Group B included 26 cases. The mean operating time of Group A was 52.5 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 51.92 with standard deviation of 15.68 while it was 70.34±25.59 in group B. Overall pain score was less in those patients who underwent Heamorrhoidectomy by Ligasure method.
The efficacy of Heamorrhoidectomy by Ligasure is better than the traditional Milligan Morgan Heamorrhoidectomy but we need more clinical trials with large sample size and long term follow ups.
比较使用LigaSure进行痔切除术与传统的Milligan Morgan痔切除术的疗效。
这项随机对照试验于2013年1月至2015年9月在卡拉奇道氏大学医院外科进行。共有55例患者纳入研究。患者被随机分为A组（使用Ligasure进行痔切除术）和B组（Milligan Morgan痔切除术）。通过手术时间、失血量、伤口愈合情况以及术后即刻、第1天和第7天的疼痛评分来比较两种手术的疗效。
55例患者中，男性23例，女性32例。最常见的年龄组为40 - 60岁。37例（67.3%）患者为三度痔，其余18例（32.7%）为四度痔。A组29例，B组26例。A组平均手术时间为52.5分钟，标准差为11.9，而另一组为36.6±9.8分钟。A组平均失血量为51.92毫升，标准差为15.68，B组为70.34±25.59毫升。采用Ligasure法进行痔切除术的患者总体疼痛评分较低。
Ligasure痔切除术的疗效优于传统的Milligan Morgan痔切除术，但我们需要更多大样本量和长期随访的临床试验。
