Affiliation:
1. General Surgery, Department of Surgical Science, Tor Vergata University, Rome, Italy
2. General Surgery, Department of Surgical Science, Tor Vergata University, Rome,, Italy
Abstract
Background::
Hemorrhoidal disease represents one of the most common anorectal disorders
in the general population. Energy devices, such as LigaSureTM scalpel, have reshaped the concept
of hemorrhoid surgery and in turn, have improved patient outcomes and simplified the work
of surgeon.
Objective::
The study aims to evaluate the outcomes of LigaSureTM hemorrhoidectomy (LH) analyzing
main post-operative complications rate, length of stay, operating time, and time to return to
work.
Methods::
In this monocentric descriptive study, from June 2001 to February 2019, 1454 consecutive
patients, treated with LH for grade III and IV hemorrhoids, were analyzed. Complications
were classified in early, late, and long-term if they occurred within 1 month, between 1 and 2
months or after 2 months, respectively.
Results::
90.2% of patients were treated in day surgery regimen and the mean operating time was
14.3 minutes. The post-operative pain decreased from 3.7 mean VAS on the 1st postoperative day
to 0.1 mean VAS on 30th post-operative day. Early complications rate was 2.1%: urinary retention
accounted for 1.8% of patients. 0.3%-of patients experienced postoperative bleeding and only one
required reoperation. Late complications rate was 5.8%: anal stenosis, incomplete healing, and anal
fissure were detected in 3.6%, 1.2%, and 1% of patients, respectively. The long term complications
rate was 5.3%: anal fistula, soiling, perianal abscess, and recurrence were identified in 0.2%, 0.1%,
0.3%, and 4.8% of patients, respectively.
Conclusion::
LH is a safe and fast procedure with a proven minimal complication rate.
Publisher
Bentham Science Publishers Ltd.
Subject
Pharmacology,General Medicine
Cited by
8 articles.
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