Modified LigaSure hemorrhoidectomy for the treatment of hemorrhoidal crisis

Chen, Chuang-Wei; Lai, Chieh-Wen; Chang, Yao-Jen; Hsiao, Koung-Hong

doi:10.1007/s00595-013-0650-1

Cited by 8 publications

(3 citation statements)

References 29 publications

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“…Швидкий розвиток новітніх хірургічних технологій дозволив впровадити у колопроктологічну практику нові високотехнологічні засоби для хірургічного лікування різноманітної аноректальної патології [5]. Так компанією "Valleylab" (США) була розроблена біполярна електротермічна система "Liga Sure" для хірургічного лікування геморою [3]. Цей метод гемороїдектомії називають "закритою безшовною гемороїдектомією".…”

Section: вступunclassified

“…Глибина термічного впливу на тканини при використанні цієї системи складає не більше 2 мм [2]. Вона забезпечувала ретельний гемостаз, скорочувала тривалість операції та позбавляла необхідності виділення та лігування судинної ніжки гемороїдального вузла, а також зменшували терміни реабілітації пацієнтів [2,3] [2,3,9,11].…”

Section: вступunclassified

“…При застосуванні електрохірургічного апарату "ERBE ICC 200" об'єм крововтрати був найменшим серед усіх досліджуваних груп, але глибина коагуляційного некро-зу була найбільшою (0,302±0,107 мм), що супроводжувалось найбільш вираженим больовим синдромом у післяопераційному періоді та найдовшим періодом стаціонарного лікування. Але, незважаючи на це, навіть найглибший термальний вплив на тканини, який становив за нашими даними 0,409 мм при використанні даного апарату, був набагато меншим, ніж глибина термального впливу на тканини, яка, за даними деяких авторів, складає від 1,5 мм при застосуванні ультразвукового скальпеля "Ultra Cision", до 2 мм при використанні апарату "Liga Sure", що часто супроводжується виникненням рубцевих стриктур анального каналу та довшим періодом загоєння післяопераційних ран [2,3,10,11].…”

Section: результати обговоренняunclassified

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Comparative characteristics of the results of surgical treatment of combined anorectal pathology using modern radiosurgical and high-frequency electrosurgical technologies

Balytskyy¹

2021

Rep. of Vinnytsia Nation. Med. Univ.

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Annotation. Surgery of combined anal canal and rectal diseases requires an unconventional tactics and methods of treatment of these pathologies, which provide minimal impact on tissues, preventing postoperative complications. The purpose of the study was conduction a comparative evaluation of the results of surgical treatment of combined anorectal pathology using modern radiosurgery and electrosurgery technologies by analyzing the clinical course of the postoperative period and studying the depth of impact of these technological devices on the structure of operated tissues. The results of treatment of 635 patients with combined diseases of the anal canal and rectum, divided into four study groups, were analyzed. The control group consisted of 112 patients operated with a surgical scalpel. After surgery 30 patients from each study group underwent morphological investigation of rectal and anal tissues for measurement of the thickness of thermal impacts on them, which was performed using an eyepiece-micrometer scale. Statistical analysis of the obtained data was performed using IBM SPSS STATISTICS SUBSCRIPTIONAL TRIAL software. License number: L-CZAA-BHG85V. The following are used in the work: Kolmogorov-Smirnov test with Lilliefors and Shapiro-Wilk correction, Levene's criterion at p<0.05; applied one-way analysis of variance, Bonferroni test; used the Welch test and the Brown-Forsyth test, the Games-Howell test; used the Kruskal-Wallis test, the Mann-Whitney test. It is established that due to the minimal and shallow impact on the tissues during application of electrosurgery devices “KLS Martin”, “EFA” and “ERBE ICC 200”, as well as radiosurgery device “Surgitron”, there were no detected neither scar anal strictures in any of the four study groups nor scarring deformities of the pararectal areas, which contributed to the cosmetic nature of the combined operations and caused rapid rehabilitation of patients in the study groups. In the control group in 2 (1,8%) patients diagnosed the formation of scar anal stricture which required conservative (1 patient) and operative (1 patient) measures to eliminate them. Using of modern radiosurgical and electrosurgical technologies for the treatment of combined anal and rectal diseases reduces the duration of surgery, intraoperative blood loss, postoperative pain and prevents scar strictures of the anal canal.

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Section: вступunclassified

Section: результати обговоренняunclassified

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Comparative characteristics of the results of surgical treatment of combined anorectal pathology using modern radiosurgical and high-frequency electrosurgical technologies

Balytskyy¹

2021

Rep. of Vinnytsia Nation. Med. Univ.

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Comparison of the efficacy and safety of different surgical procedures for patients with hemorrhoids: a network meta-analysis

Yuan,

Wu,

Yin

et al. 2023

Tech Coloproctol

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Comparisons of the Efficacy of Ligasure Hemorrhoidectomy in Grade 3 and 4 Hemorrhoid Diseases

Taşkin,

Karademir

2024

Journal of Coloproctology

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Objective In recent years, Ligasure hemorrhoidectomy has been preferred in the treatment of grade 3 and 4 hemorrhoids rather than traditional surgery. This study aimed to compare the efficacy of Ligasure hemorrhoidectomy in grade 3 and 4 hemorrhoid treatment. Methods A retrospective examination was made of the files of patients who underwent Ligasure hemorrhoidectomy because of grade 3 or 4 hemorrhoids. The demographic and clinical data of the patients were recorded. To evaluate pain severity after the procedure, a Visual Analog Scale (VAS) was used, and patient satisfaction at 6 months after the procedure was evaluated with a Likert-type scale. Early and late complications were determined in these follow-up examinations. Results The patients included in the study had a mean age of 45 ± 11 years and 82 (75.9%) were male. The mean follow-up period was 18 months (range, 6–44 months). The mean age of patients with grade 4 hemorrhoid was significantly higher than that of those with grade 3 hemorrhoid (p = 0.006). Postoperative early and late (relapse) complications were seen at a higher rate in grade 4 patients compared with grade 3, but the difference was not statistically significant. More successful treatment outcomes were observed in grade 3 patients than in those with grade 4 hemorrhoid, but not to a statistically significant level. Conclusion Ligasure hemorrhoidectomy is safer in terms of postoperative complications and treatment success is greater in patients with grade 3 hemorrhoids compared with those with grade 4 hemorrhoids.

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Modified LigaSure hemorrhoidectomy for the treatment of hemorrhoidal crisis

Abstract: The modified LigaSure hemorrhoidectomy offers rapid pain relief, early recovery, and low morbidity for patients with an acute hemorrhoidal crisis.

Cited by 8 publications

References 29 publications

Comparative characteristics of the results of surgical treatment of combined anorectal pathology using modern radiosurgical and high-frequency electrosurgical technologies

Comparative characteristics of the results of surgical treatment of combined anorectal pathology using modern radiosurgical and high-frequency electrosurgical technologies

Comparison of the efficacy and safety of different surgical procedures for patients with hemorrhoids: a network meta-analysis

Comparisons of the Efficacy of Ligasure Hemorrhoidectomy in Grade 3 and 4 Hemorrhoid Diseases

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