Hemorroidectomía con ligasure™ vs diatermia convencional

Análisis retrospectivo monocéntrico

Translated title of the contribution: Ligasure vs conventional diathermy in excisional haemorrhoidectomy: A retrospective study of a single center

Davide Papis, Matías Parodi, Fernando Herrerías, Ana Sánchez, Luis Gómez, José Enrique Sierra, Antonio Fermiñán, Jorge Juan Olsina

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Introduction. Hemorrhoids are a prolapse of vasculopathic structures that cushion the anal canal and haemorrhoidectomy is the most effective treatment for grades III and IV. In this retrospective study we compare the outcome after haemorrhoidectomy with Ligasure or with conventional diathermy. Methods. From June 2005 to March 2009 we analyzed 75 patients affected by hemorrhoids (grades III and IV) who underwent haemorrhoidectomy in the University Hospital Arnau de Vilanova in Lleida. We evaluated the technique, the age and the sex, and compared the post-operative hospital stay, the post-operative pain and the complications with each of the techniques. Results. We used Ligasure technique in 49 patients (65%) and conventional diathermy technique in 26 (35%). The mean age was 50.3 years. There was no significant difference in both postoperative length of stay, with an average of 2.13 days (P = 0.60), and postoperative pain in the first 15 days (P = 0.275). On the contrary, we found a significant difference in the rate of postoperative complications (P = 0.032) and in the post-surgical pain at one month (P = 0.03). Conclusions. In our experience the Ligasure haemorrhoidectomy has shown to have fewer complications and post-operative pain when compared with conventional diathermy haemorrhoidectomy.

Original languageSpanish
Pages (from-to)284-287
Number of pages4
JournalActa Gastroenterologica Latinoamericana
Volume43
Issue number4
StatePublished - Dec 1 2013

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Hemorrhoidectomy
Diathermy
Retrospective Studies
Hemorrhoids
Pain
Length of Stay
Prolapse
Anal Canal
Postoperative Pain

All Science Journal Classification (ASJC) codes

  • Gastroenterology

Cite this

Papis, D., Parodi, M., Herrerías, F., Sánchez, A., Gómez, L., Enrique Sierra, J., ... Juan Olsina, J. (2013). Hemorroidectomía con ligasure™ vs diatermia convencional: Análisis retrospectivo monocéntrico. Acta Gastroenterologica Latinoamericana, 43(4), 284-287.

Hemorroidectomía con ligasure™ vs diatermia convencional : Análisis retrospectivo monocéntrico. / Papis, Davide; Parodi, Matías; Herrerías, Fernando; Sánchez, Ana; Gómez, Luis; Enrique Sierra, José; Fermiñán, Antonio; Juan Olsina, Jorge.

In: Acta Gastroenterologica Latinoamericana, Vol. 43, No. 4, 01.12.2013, p. 284-287.

Research output: Contribution to journalArticle

Papis, D, Parodi, M, Herrerías, F, Sánchez, A, Gómez, L, Enrique Sierra, J, Fermiñán, A & Juan Olsina, J 2013, 'Hemorroidectomía con ligasure™ vs diatermia convencional: Análisis retrospectivo monocéntrico', Acta Gastroenterologica Latinoamericana, vol. 43, no. 4, pp. 284-287.
Papis D, Parodi M, Herrerías F, Sánchez A, Gómez L, Enrique Sierra J et al. Hemorroidectomía con ligasure™ vs diatermia convencional: Análisis retrospectivo monocéntrico. Acta Gastroenterologica Latinoamericana. 2013 Dec 1;43(4):284-287.
Papis, Davide ; Parodi, Matías ; Herrerías, Fernando ; Sánchez, Ana ; Gómez, Luis ; Enrique Sierra, José ; Fermiñán, Antonio ; Juan Olsina, Jorge. / Hemorroidectomía con ligasure™ vs diatermia convencional : Análisis retrospectivo monocéntrico. In: Acta Gastroenterologica Latinoamericana. 2013 ; Vol. 43, No. 4. pp. 284-287.
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abstract = "Introduction. Hemorrhoids are a prolapse of vasculopathic structures that cushion the anal canal and haemorrhoidectomy is the most effective treatment for grades III and IV. In this retrospective study we compare the outcome after haemorrhoidectomy with Ligasure or with conventional diathermy. Methods. From June 2005 to March 2009 we analyzed 75 patients affected by hemorrhoids (grades III and IV) who underwent haemorrhoidectomy in the University Hospital Arnau de Vilanova in Lleida. We evaluated the technique, the age and the sex, and compared the post-operative hospital stay, the post-operative pain and the complications with each of the techniques. Results. We used Ligasure technique in 49 patients (65{\%}) and conventional diathermy technique in 26 (35{\%}). The mean age was 50.3 years. There was no significant difference in both postoperative length of stay, with an average of 2.13 days (P = 0.60), and postoperative pain in the first 15 days (P = 0.275). On the contrary, we found a significant difference in the rate of postoperative complications (P = 0.032) and in the post-surgical pain at one month (P = 0.03). Conclusions. In our experience the Ligasure haemorrhoidectomy has shown to have fewer complications and post-operative pain when compared with conventional diathermy haemorrhoidectomy.",
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AB - Introduction. Hemorrhoids are a prolapse of vasculopathic structures that cushion the anal canal and haemorrhoidectomy is the most effective treatment for grades III and IV. In this retrospective study we compare the outcome after haemorrhoidectomy with Ligasure or with conventional diathermy. Methods. From June 2005 to March 2009 we analyzed 75 patients affected by hemorrhoids (grades III and IV) who underwent haemorrhoidectomy in the University Hospital Arnau de Vilanova in Lleida. We evaluated the technique, the age and the sex, and compared the post-operative hospital stay, the post-operative pain and the complications with each of the techniques. Results. We used Ligasure technique in 49 patients (65%) and conventional diathermy technique in 26 (35%). The mean age was 50.3 years. There was no significant difference in both postoperative length of stay, with an average of 2.13 days (P = 0.60), and postoperative pain in the first 15 days (P = 0.275). On the contrary, we found a significant difference in the rate of postoperative complications (P = 0.032) and in the post-surgical pain at one month (P = 0.03). Conclusions. In our experience the Ligasure haemorrhoidectomy has shown to have fewer complications and post-operative pain when compared with conventional diathermy haemorrhoidectomy.

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