Abstract
Hemorrhoidectomy is frequently associated with significant postoperative pain and prolonged hospital stay. New techniques to reduce these problems are constantly under evaluation. Among these, Ligasure hemorrhoidectomy is a safe and fast technique that fulfills the requirements of low-complication rate, fast wound healing and quick return to work, reduction in postoperative pain, and hospitalization. The authors detail all the steps of the surgical procedure: operative position, hemorrhoids exposure, dissection, vascular pedicle ligation, hemorrhoidal removal, and final control. Besides this, the attention is focused on the technical features of Ligasure™ technology, given that understanding of technical background is a prerequisite for adequate handling of the Ligasure™ device.
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References
Beattie GC, Wilson RG, Loudon MA (2002) The contemporary management of hemorrhoids. Color Dis 4(6):450–454
Chen CW, Lai CW, Chang YJ et al (2013) Results of 666 consecutive patients treated with LigaSure hemorrhoidectomy for symptomatic prolapsed hemorrhoids with a minimum follow-up of 2 years. Surgery 153(2):211–218
Chung YC, Wu HJ (2003) Clinical experience of sutureless closed hemorrhoidectomy with LigaSure™. Dis Colon Rectum 46(1):87–92
Franklin EJ, Seetharam S, Lowney J, Horgan PG (2003) Randomized, clinical trial of Ligasure™ versus conventional diathermy in hemorrhoidectomy. Dis Colon Rectum 46(10):1380–1383
Gentile M, De Rosa M, Carbone G et al (2011) LigaSure heamorrhoidectomy versus conventional diathermy for IV-degree haemorrhoids: is it the treatment of choice? A randomized, clinical trial. ISRN Gastroenterol 2011:467258
Gravante G, Venditti D (2007) Postoperative anal stenoses with LigaSure™ hemorrhoidectomy. World J Surg 31(1):245
Kennedy JS, Stranahan PL, Taylor KD, Chandler JG (1998) High-burst-strength, feedback-controlled bipolar vessel sealing. Surg Endosc 12(6):876–878
Milito G, Lisi G, Aronadio E, Campanelli M, Venditti D, Grande S, Grande M (2017) Ligasure™ hemorrhoidectomy: how we do. Minerva Gastroenterol Dietol 63(1):44–49
Muzi MG, Milito G, Nigro C, Cadeddu F, Andreoli F, Amabile D, Farinon AM (2007) Randomized clinical trial of LigaSure™ and conventional diathermy haemorrhoidectomy. Br J Surg 94(8):937–942
Peters CJ, Botterill I, Ambrose NS, Hick D, Casey J, Jayne DG (2005) LigaSure™ vs conventional diathermy haemorrhoidectomy: long-term follow-up of a randomised clinical trial. Color Dis 7(4):350–353
Ramcharan KS, Hunt TM (2005) Anal stenosis after LigaSure™ hemorrhoidectomy. Dis Colon Rectum 48(8):1670–1671
Rivadeneira DE, Steele SR, Ternent C, Chalasani S, Buie WD, Rafferty JL (2011) Practice parameters for the management of hemorrhoids (revised 2010). Dis Colon Rectum 54(9):1059–1064
Sayfan J, Becker A, Koltun L (2001) Sutureless closed hemorrhoidectomy: a new technique. Ann Surg 234(1):21–24
Schubert MC, Sridhar S, Schade RR, Wexner SD (2009) What every gastroenterologist needs to know about common anorectal disorders. World J Gastroenterol 15(26):3201–3209
Wang JY, Lu CY, Tsai HL et al (2006) Randomized controlled trial of LigaSure with submucosal dissection versus ferguson hemorrhoidectomy for prolapsed hemorrhoids. World J Surg 30(3):462–466
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Milito, G., Lisi, G. (2017). Modern Hemorrhoidectomy: Techniques and Results. In: Ratto, C., Parello, A., Litta, F. (eds) Hemorrhoids. Coloproctology. Springer, Cham. https://doi.org/10.1007/978-3-319-51989-0_20-1
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DOI: https://doi.org/10.1007/978-3-319-51989-0_20-1
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