Ligature; Hemorrhage Clinical Trial
Official title:
Comparison Between Haemorrhoidectomy by Ligasure and Conventional Surgery
Comparison between Haemorrhoidectomy by Ligasure and conventional surgery
Hemorrhoids, a varicose condition are one of the commonest illnesses which causes per rectal
bleeding . Hemorrhoidectomy is the standard operation for grades III and IV hemorrhoids; it
is superior to any proposed conservative procedure. Conventional haemorrhoidectomy is the
open surgical procedure in which the haemorrhoid pedicle is ligated by a transfixing suture
which may lead to some postoperative complications mostly pain, bleeding and wound infection
which ultimately cause prolonged stay in hospital.
A number of surgeons believe that by avoiding vascular pedicle ligation the chances of
secondary bleeding can be decreased .This stimulated the researchers to develop new
techniques with a less severe course and faster recovery . Recent advances in instrumental
technology including the bipolar electrothermal device, ultrasonic scalpel, and circular
stapler are gaining popularity as effective alternatives in hemorrhoidectomy . Of these
instruments, the LigaSure vessel sealing system has been recently introduced as a tool
conceived to upgrade the conventional treatment of haemorrhoids. This reduces anal spasm and
allows performing a bloodless haemorrhoidectomy with reduced post- operative pain and fast
healing . .Thus this operation can be recommended as the ideal technique. Many trials were
performed to compare LigaSure hemorrhoidectomy with conventional hemorrhoidectomy, although
an overall favorable trend exists toward LigaSure, conclusions are not univocal and
definitive; this creates some uncertainty, also considering the increasing cost for this
disposable device: thus it is essential to keep on experimenting to determine whenever an
actual advantage exists.
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Status | Clinical Trial | Phase | |
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Not yet recruiting |
NCT05684536 -
Comparison of Liagure Safety in Thyroidectomy With Conventional Thyroidectomy
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N/A |