LigaSure or Diathermy Excision of III-IV Degree Pile? A Single-institution Experience: A Randomized Control Trial

Abstract

INTRODUCTION: Pile excision is frequently associated with post-operative pain and prolonged hospital stay. A modern technique performed with LigaSure (LS) seems to be especially efficient when large pile tissue removal is needed. AIM: The research compares LS pile excision with diathermy for the treatment of III-IV degree pile. PATIENTS AND METHODS: Two hundred and eight patients with pile III or IV degrees randomized into two groups: Group one LS and group two diathermy. The study evaluates the mean post-operative time, post-operative pain, discharge date, and time return to usual works early and late complication. All patients followed up for a range (12–24) months. RESULTS: One hundred and eight patients managed by diathermy, 100 managed by LS. The operating time is considerably shortened in LS; post-operative pain disappears earlier in LS than diathermy. In addition, the timely return to work reduces in LS, while no distinction between hospitalization and post-operative complications. CONCLUSIONS: LS is an efficient procedure in degree III or VI pile excision. Therefore, the procedure enhances to use LS as the treatment of choice for Classes III–IV pile, even it is more expensive than diathermy operation.