Ligasure Hemorrhoidectomy Versus Open Hemorrhoidectomy

Background There is increasing evidence that many anorectal surgical procedures may be performed under local anesthesia. The aim of the present study was to evaluate the safety and efficacy of local anesthesia in the outpatient clinic vs spinal anesthesia in the operating room for open hemorrhoidectomy. Methods Sixty-two patients with grade III or IV hemorrhoids underwent open hemorrhoidectomy with LigaSure™ between 2018 and 2020. Of them, 32 procedures were performed in the operating room under spinal anesthesia with hyperbaric bupivacaine and other 30 procedures were undertaken in the outpatient clinic under local anesthesia with ropivacaine. Results There were no significant differences regarding age, gender, American Society of Anesthesiologists class, and Goligher’s grade in between groups. No significant differences were observed in postoperative pain score (P = .85), perioperative complications (P = .51), and reoperation rate (P = .96). No recurrences and no differences in patients’ satisfaction degree (P = .76) were documented at long-term follow-up in both study groups. Discussion Our results suggest that open hemorrhoidectomy with LigaSure™ performed in selected patients under local anesthesia in the outpatient clinic is a well-tolerated, safe, and effective procedure.

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Morphine Spinal Block Anesthesia in Patients Who Undergo an Open Hemorrhoidectomy: A Prospective Analysis of Pain Control and Postoperative Complications

Annals of Coloproctology ◽

10.3393/ac.2014.30.3.135 ◽

2014 ◽

Vol 30 (3) ◽

pp. 135 ◽

Cited By ~ 5

Author(s):

Hélio Moreira ◽

José PT Moreira ◽

Raniere R Isaac ◽

Onofre Alves-Neto ◽

Thiago AC Moreira ◽

...

Keyword(s):

Postoperative Complications ◽

Pain Control ◽

Spinal Block ◽

Prospective Analysis ◽

Open Hemorrhoidectomy

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Comparison of efficacy of internal sphincterotomy versus topical 0.2 % glyceryl trinitrate ointment after hemorrhoidectomy.

The Professional Medical Journal ◽

10.29309/tpmj/2020.27.12.4728 ◽

2020 ◽

Vol 27 (12) ◽

pp. 2541-2547

Author(s):

Muhammad Arif ◽

Sabih Nofal ◽

Ahsan Khan ◽

Mariam Tariq Awana ◽

Anum Arif

Keyword(s):

Glyceryl Trinitrate ◽

Controlled Trial ◽

P Value ◽

Chi Square ◽

Male Predominance ◽

Internal Sphincterotomy ◽

Open Hemorrhoidectomy ◽

Group A ◽

Group B ◽

Glyceryl Trinitrate Ointment

Objectives: To compare the efficacy of 0.2% glyceryl trinitrate ointment versus internal sphincterotomy after hemorrhoidectomy. Study Design: Randomized Controlled Trial. Setting: Department of Surgery Unit III, at Lahore General Hospital, Lahore. Period: 6 months (August 2017 to February 2018). Material & Methods: The OPD of the Department of Surgery included 124 patients who satisfied the inclusion criteria. There were two groups of patients, Group A and Group B. Group-A was told to use gloved finger three times daily for 0.2 percent GTN ointment topically. For Group B, lateral internal sphincterotomy was performed as day care procedure. On visit, patients were assessed for pain relief by using VAS. All data was collected using a pre-designed (attached) proforma. In SPSS v23.0 the data were input and analyzed. It was stratified for age, sex, disease duration and hemorrhoid stage. The effectiveness of both groups was compared by using a p-value of 0.05 as significant for a chi-square test. Results: Male predominance; in group-A, 41(66.1%) patients were male and 21(33.9%) were female, while in group-B, 52(83.9%) patients were male and 10(16.1%) were females. Efficacy was found in 11(17.7%) patients in group-A (0.2% GTN) while in 25(40.3%) patients in group-B (Internal sphincterotomy) with p-value of 0.006 which is statistically significant. Conclusion: Open hemorrhoidectomy internal sphincterotomy is an effective method to reduce pain after hemorrhoidectomy in contrast to Glyceryl Trinitrate (GTN) topical cream of 0.2 percent.

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Evaluation of the role of sucralfate cream in decreasing pain intensity and improving healing following open hemorrhoidectomy: a randomized controlled study

Menoufia Medical Journal ◽

10.4103/mmj.mmj_766_17 ◽

2019 ◽

Vol 32 (2) ◽

pp. 506

Author(s):

YahiaM Al Khateeb ◽

AhmedM Abdel Sattar ◽

AymanA Al Batanony

Keyword(s):

Pain Intensity ◽

Randomized Controlled Study ◽

Controlled Study ◽

Randomized Controlled ◽

Open Hemorrhoidectomy

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Minimal Open Hemorrhoidectomy Versus Transanal Hemorrhoidal Dearterialization

Diseases of the Colon & Rectum ◽

10.1097/dcr.0000000000001588 ◽

2020 ◽

Vol 63 (5) ◽

pp. 655-667

Author(s):

Håvard D. Rørvik ◽

André H. Campos ◽

Karl Styr ◽

Lars Ilum ◽

Grant K. McKinstry ◽

...

Keyword(s):

Open Hemorrhoidectomy

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Sutureless hemorrhoidectomy vs open hemorrhoidectomy: a prospective study in a regional hospital of Western Nepal

Nepal Journal of Medical Sciences ◽

10.3126/njms.v3i2.13456 ◽

2015 ◽

Vol 3 (2) ◽

pp. 121-123

Author(s):

P Ghimire ◽

NV Gurung ◽

PK Upadhaya ◽

S Shrestha ◽

A Gurung ◽

...

Keyword(s):

Hospital Stay ◽

Demographic Data ◽

Operating Time ◽

Operation Time ◽

Regional Hospital ◽

Time Duration ◽

Duration Of Symptoms ◽

Sutureless Technique ◽

Open Hemorrhoidectomy ◽

Early Return

Background: The aim of this study is to compare sutureless Hemorroidectomy with Conventional Open Hemorrhoidectomy in terms of safety and clinical efficacy.Method: A prospective analytical study of 60 operated patients (a nonrandomized cohort) was carried out by following up from admission to 1 month period after hospital discharge in between July, 2013 to February, 2014 in Western Regional Hospital, Pokhara, Nepal. Demographic data, clinical data, mean operation time, duration of hospital stay, number of parenteral analgesic injections and post-operative complications between the two groups were recorded and analyzed.Result: There were no statistically significant differences between the two groups in terms of age, gender, duration of symptoms, grade of the hemorrhoid(s), or number of hemorrhoids resected. The mean operating time for LigaSure sutureless hemorrhoidectomy was significantly shorter than that for the Open hemorrhoidectomy (P < 0.001). Patients treated with the LigaSure technique had less blood loss, a better pain score (P < 0.001), less parenteral analgesic requirement (P < 0.001), shorter hospital stay (P < 0.001), and early return to work (P < 0.01). Conclusion: Sutureless Technique is safe and effective as compared to Conventional Open Hemorrhoidectomy for grade III and IV hemorrhoids.Nepal Journal of Medical Sciences Vol.3(2) 2014: 121-123

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