Virk Anant Kaur, Kansal Rohin, Singh Carol, Mehta Madhav, Arora Baninder, Singh Anmol, Malhotra Kashish, Grewal Jasneet, Mondal Himel, Bawa Ashvind
Department of General Surgery, Dayanand Medical College and Hospital, Ludhiana, IND.
Department of Medicine, Adesh Institute of Medical Sciences and Research, Bathinda, IND.
Cureus. 2024 Aug 8;16(8):e66430. doi: 10.7759/cureus.66430. eCollection 2024 Aug.
Objective The present study aimed to assess and compare the surgical outcomes of hemorrhoidectomies performed using two different techniques: conventional Milligan-Morgan and another popular vessel sealing approach of LigaSure hemorrhoidectomy. Methods This retrospective study was conducted at our tertiary care hospital and involved patients who underwent either of the surgical procedures from June 2016 to March 2022. The patient demographics and data on the duration of operation, hospital stay, and postoperative recovery were collected and evaluated. Results Of the 91 cases reviewed, a total of 44 patients underwent Milligan-Morgan open hemorrhoidectomy and 47 had LigaSure hemorrhoidectomy. The mean operative time was significantly shorter for LigaSure hemorrhoidectomy (33.84 ±9.18 vs. 23.15 ±3.36 minutes for Milligan-Morgan and LigaSure, respectively, p<0.0001). Additionally, in comparison to Milligan-Morgan open hemorrhoidectomy, the LigaSure hemorrhoidectomy group exhibited a significant reduction in hospital stay (2.20 ±0.79 vs. 1.47 ±0.50 days), lower pain score [6.55 ±1.19 vs. 5.30 ±1.10 on the visual analog scale (VAS) on day one and 2.25 ±1.26 vs. 1.47 ±0.78 VAS on day seven], and faster return to normal activities (18.18 ±4.30 vs. 14.85 ±3.15 days). Conclusions When pitted against the traditional Milligan-Morgan method, the LigaSure approach to performing a hemorrhoidectomy is superior, owing to the shorter duration of operation, shorter hospital stays, lesser pain, and earlier return to normal activities. In light of these findings, surgeons may consider choosing this procedure to improve surgical outcomes and efficiency.
目的 本研究旨在评估和比较采用两种不同技术进行痔切除术的手术效果：传统的Milligan - Morgan术式和另一种流行的血管闭合方法——LigaSure痔切除术。方法 本回顾性研究在我们的三级护理医院进行，纳入了2016年6月至2022年3月期间接受这两种手术之一的患者。收集并评估患者的人口统计学数据以及手术时间、住院时间和术后恢复情况的数据。结果 在审查的91例病例中，共有44例患者接受了Milligan - Morgan开放式痔切除术，47例接受了LigaSure痔切除术。LigaSure痔切除术的平均手术时间明显更短（Milligan - Morgan术式和LigaSure术式分别为33.84±9.18分钟和23.15±3.36分钟，p<0.0001）。此外，与Milligan - Morgan开放式痔切除术相比，LigaSure痔切除术组的住院时间显著缩短（2.20±0.79天对1.47±0.50天），疼痛评分更低[术后第1天视觉模拟量表（VAS）评分6.55±1.19对5.30±1.10，术后第7天VAS评分2.25±1.26对1.47±0.78]，恢复正常活动更快（18.18±4.30天对14.85±3.15天）。结论 与传统的Milligan - Morgan方法相比，LigaSure痔切除术方法更具优势，因为其手术时间更短、住院时间更短、疼痛更少且能更早恢复正常活动。鉴于这些发现，外科医生可考虑选择该手术方式以改善手术效果和效率。
