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- DOI 10.18231/j.jsas.2025.016
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CrossMark
- Citation
Outcomes of open and ligasure hemorrhoidectomy in Grade III and IV hemorrhoids – A prospective study
- Author Details:
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Anika Goyal *
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Manjit Singh Uppal
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Sidharth Khullar
Background: Hemorrhoids are enlarged anal cushions causing rectal bleeding and classified by location and prolapse degree. Treatments range from dietary changes to surgery. LigaSure, a vessel-sealing device, offers advantages over conventional hemorrhoidectomy, including less blood loss, reduced pain, and faster recovery. This study compares LigaSure’s efficacy with traditional surgical methods.
Materials and Methods: A randomized controlled hospital-based comparative study was conducted in a tertiary care hospital in Amritsar, Punjab. Patients aged 20–70 years with hemorrhoids, meeting the inclusion criteria, were enrolled after obtaining informed consent. Exclusion criteria included inflammatory bowel diseases, previous anal surgery, local pathology, recent anticoagulant use, and pregnancy. A total of 80 eligible patients were randomized into two equal groups (40 each) using One EPI software. Group A underwent Milligan & Morgan hemorrhoidectomy, while Group B was treated with LigaSure. Patients were assessed for anal pain, discomfort, bleeding, recurrence and bowel control. Anorectal examinations were performed to evaluate edge edema, wound healing and anal stenosis.
Result: A total of 80 patients were randomized into two groups of 30 each. Group A underwent Milligan-Morgan hemorrhoidectomy, while Group B underwent LigaSure hemorrhoidectomy. The mean age was 45.05?±?13.94 years in Group A and 41.92?±?15.93 years in Group B. The average operative time was significantly shorter in the LigaSure group (16.33 minutes) compared to the conventional group (26.65 minutes) (P = 0.001). Mean intraoperative blood loss was also lower in the LigaSure group (15.2 ml) versus the Milligan-Morgan group (69.18 ml). According to the Wong-Baker pain scale at 12 and 24 hours postoperatively, patients in the LigaSure group reported significantly less pain than those in the conventional group.
Conclusion: Ligasure hemorrhoidectomy is a safer surgical procedure as it has less postoperative pain. Also, operative time and blood loss during surgery is less in ligasure hemorrhoidectomy than in conventional hemorrhoidectomy.
Keywords: Hemorrhoids, LigaSure, Milligan & Morgan.
References
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How to Cite This Article
Vancouver
Goyal A, Uppal MS, Khullar S. Outcomes of open and ligasure hemorrhoidectomy in Grade III and IV hemorrhoids – A prospective study [Internet]. IP J Surg Allied Sci. 2025 [cited 2025 Oct 24];7(2):76-79. Available from: https://doi.org/10.18231/j.jsas.2025.016
APA
Goyal, A., Uppal, M. S., Khullar, S. (2025). Outcomes of open and ligasure hemorrhoidectomy in Grade III and IV hemorrhoids – A prospective study. IP J Surg Allied Sci, 7(2), 76-79. https://doi.org/10.18231/j.jsas.2025.016
MLA
Goyal, Anika, Uppal, Manjit Singh, Khullar, Sidharth. "Outcomes of open and ligasure hemorrhoidectomy in Grade III and IV hemorrhoids – A prospective study." IP J Surg Allied Sci, vol. 7, no. 2, 2025, pp. 76-79. https://doi.org/10.18231/j.jsas.2025.016
Chicago
Goyal, A., Uppal, M. S., Khullar, S.. "Outcomes of open and ligasure hemorrhoidectomy in Grade III and IV hemorrhoids – A prospective study." IP J Surg Allied Sci 7, no. 2 (2025): 76-79. https://doi.org/10.18231/j.jsas.2025.016