Ligasure hemorrhoidectomy (LH) with „near base“ technique
Journal
European Surgery
Date Issued
2021-10
Author(s)
Jovanovska, Frosina
Mustafova, Alma
Dervisov, Kristijan
Limani, Nimetula
Dalipi, Berat
Markov, Petar
DOI
10.1007/s10353-021-00737-5
Abstract
Ligasure hemorrhoidectomy (LH) with „near base“
technique
Şenol Tahir*, Martina Ambardjieva, Frosina
Jovanovska, Alma Mustafova, Kristijan Dervisov,
Nimetula Limani, Berat Dalipi, Petar Markov
University Clinic for Surgical Diseases, General and
Abdominal departemen – St. Naum Ohridski, Skopje,
N. Macedonia
Background: In this study we evaluate the use of MilliganMorgan hemorrhoidectomy with Ligasure vessel sealing.
Methods: Grades 3 and 4 hemorrhoids are operated with
Ligasure by coagulation and cutting of the hemorrhoids at
positions 5, 7 and 11 hour. Te patients received premedication, analgesia and intravenous 500 mg metronidazole preoperatively. Under anesthesia, placed in a lithotripsy position, the
anoscope is placed with a easy retraction, than a 5 mm V shape
incision is made with the scalpel at the anocutaneous border.
Te nodule was lifted with an instrument and the LigaSure
was placed on the base of the nodule (leaving 2 mm enough
mucosa above the sphincter), coagulated and incised. Te control check, 24 hours later and sent home with oral analgesic and
metronidazole therapy. Follow-up 7, 14 and 28th day
Results: 52 patients undergoing LH surgery, with an average age of 42.5 years. 59 % are women and 56 % are grades III.
Average operative intervention 17.0+4.1 minutes, hospital stay
1.2 days, Postoperative pain (VAS1-6) 3. Urinary retention 0.4 %.
Minor bleeding 5.6 %. Pruritus in 5.6 %, gas incontinence 7.6 %.
No stenosis or incontinence.
Conclusions: LH is an efective and safe surgical method
and it should be used as a routine.
technique
Şenol Tahir*, Martina Ambardjieva, Frosina
Jovanovska, Alma Mustafova, Kristijan Dervisov,
Nimetula Limani, Berat Dalipi, Petar Markov
University Clinic for Surgical Diseases, General and
Abdominal departemen – St. Naum Ohridski, Skopje,
N. Macedonia
Background: In this study we evaluate the use of MilliganMorgan hemorrhoidectomy with Ligasure vessel sealing.
Methods: Grades 3 and 4 hemorrhoids are operated with
Ligasure by coagulation and cutting of the hemorrhoids at
positions 5, 7 and 11 hour. Te patients received premedication, analgesia and intravenous 500 mg metronidazole preoperatively. Under anesthesia, placed in a lithotripsy position, the
anoscope is placed with a easy retraction, than a 5 mm V shape
incision is made with the scalpel at the anocutaneous border.
Te nodule was lifted with an instrument and the LigaSure
was placed on the base of the nodule (leaving 2 mm enough
mucosa above the sphincter), coagulated and incised. Te control check, 24 hours later and sent home with oral analgesic and
metronidazole therapy. Follow-up 7, 14 and 28th day
Results: 52 patients undergoing LH surgery, with an average age of 42.5 years. 59 % are women and 56 % are grades III.
Average operative intervention 17.0+4.1 minutes, hospital stay
1.2 days, Postoperative pain (VAS1-6) 3. Urinary retention 0.4 %.
Minor bleeding 5.6 %. Pruritus in 5.6 %, gas incontinence 7.6 %.
No stenosis or incontinence.
Conclusions: LH is an efective and safe surgical method
and it should be used as a routine.
Subjects