Journal of Islamic International Medical College (Sep 2023)
Comparison of Perioperative Outcomes : Conventional Milligan Morgan Hemorrhoidectomy Versus Ligasure Assisted Hemorrhoidectomy
Abstract
Objective: Outcomes based comparison between Milligan Morgan hemorrhoidectomy and ligasure assisted hemorrhoidectomy. Study Design: Experimental Interventional. Place and Duration of Study: Surgery department of Holy Family Hospital between December 2021 and May 2022. Duration of study is six months. Materials and Methods: After informed consent, 44 patients were enrolled and equally divided in two groups. Sample size was calculated in context to another local study. The Group A underwent ligasure assisted hemorrhoidectomy while Group B underwent conventional Milligan Morgan hemorrhoidectomy. Comparison between the groups was done for operative time, postoperative pain, analgesia requirement and duration of hospital stay. Data analysis was done using Statistical Package for Social Sciences (SPSS) version 23. Results: Patients had mean age of 36.56 ± 11.9 years with male dominance 31 (70.5%). Group A had lesser operative time in minutes when compared to Group B (11.64 ± 1.94 vs 19.55 ± 2.28, p<0.001). Postoperative pain calculated using numeric rating scale was less severe in Group A versus Group B at 12 hours (4.55±1.26 vs 6.91±0.87, p<0.001) and at 24 hours (3.00±1.07 vs 4.41±1.05, p<0.001). 90.5 % patients were discharged in 12 hours in Group A while only 4.5% were discharged in 12 hours in Group B. Overall hospital stay was more in Group B (p<0.001). Conclusion: Hemorrhoidectomy using ligasure for pedicle coagulation is better than Milligan Morgan hemorrhoidectomy in terms of operative time, postoperative pain and duration of hospital stay.
