Pain, Postoperative Clinical Trial
Official title:
Comparison Study: Ligasure Versus Conventional Hemorrhoidectomy in III and IV Degree Hemorrhoids.
A comparison study was performed between Ligasure and Milligan morgan hemorrhoidectomy to find out the outcome between these two techniques in 3rd and 4th degree hemorrhoids.This advance vessel sealing device is used to seal the pedicle of the vessel and does not burn the surrounding tissues , so the outcome was monitored in terms of operative time, post operative pain pain, duration of wound healing in 3 weeks and return to normal activities
INTRODUCTION:
Milligan Morgan hemorrhoidectomy is conventional procedure in 3rd and 4th degree hemorrhoids
but recent advances in ligasure hemorrhoidectomy have shown to produce favorable results.
Comparison of these two is studied in terms of pain outcome as patient perceives, operative
time, wound healing and return to normal activities.
OBJECTIVES:
To compare the outcome of ligasure hemorrhoidectomy with conventional hemorrhoidectomy in III
and IV degree hemorrhoids.
STUDY DESIGN:
Randomized controlled trial
STUDY SETTING:
The study was conducted in surgical unit 1, Services hospital, Lahore.
DURATION OF STUDY:
Study was completed in six months after the approval of synopsis i.e. from 1st April 2014 to
30th September 2014.
DATA COLLECTION PROCEDURE:
After approval from hospital ethical committee, 100 patients fulfilling the inclusion
criteria has been recruited from outdoor and emergency department. A detailed history had
been taken including demographic data (age, address) and all patients had been clinically
examined .Patients was divided in two groups randomly using random number tables. Group A:
Conventional hemorrhoidectomy. Group B: Ligasure hemorrhoidectomy. Patients had been
requested to sign an informed consent. They had been assured regarding confidentiality and
expertise used for the procedure. All procedures have been performed by a single surgical
operating team to control bias. Preoperatively operative time was noted. Post operatively
pain had been assessed after 6 hours, 24 hours, and 48 hours, wound has been assessed in 2nd
and 3rd postoperative week to assess epithelization and return to normal activities in days.
All data had been collected and recorded on the Proforma
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