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CC BY 4.0 · Journal of Coloproctology 2024; 44(04): e272-e277
DOI: 10.1055/s-0044-1800929
Original Article

Comparisons of the Efficacy of Ligasure Hemorrhoidectomy in Grade 3 and 4 Hemorrhoid Diseases

Ali Kemal Taşkin 
1   Department of General Surgery, Bursa Yuksek Ihtisas Training and Research Hospital, University of Health Science, Bursa, Turkey
,
Enes Karademir
1   Department of General Surgery, Bursa Yuksek Ihtisas Training and Research Hospital, University of Health Science, Bursa, Turkey
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Abstract

Objective In recent years, Ligasure hemorrhoidectomy has been preferred in the treatment of grade 3 and 4 hemorrhoids rather than traditional surgery. This study aimed to compare the efficacy of Ligasure hemorrhoidectomy in grade 3 and 4 hemorrhoid treatment.

Methods A retrospective examination was made of the files of patients who underwent Ligasure hemorrhoidectomy because of grade 3 or 4 hemorrhoids. The demographic and clinical data of the patients were recorded. To evaluate pain severity after the procedure, a Visual Analog Scale (VAS) was used, and patient satisfaction at 6 months after the procedure was evaluated with a Likert-type scale. Early and late complications were determined in these follow-up examinations.

Results The patients included in the study had a mean age of 45 ± 11 years and 82 (75.9%) were male. The mean follow-up period was 18 months (range, 6–44 months). The mean age of patients with grade 4 hemorrhoid was significantly higher than that of those with grade 3 hemorrhoid (p = 0.006). Postoperative early and late (relapse) complications were seen at a higher rate in grade 4 patients compared with grade 3, but the difference was not statistically significant. More successful treatment outcomes were observed in grade 3 patients than in those with grade 4 hemorrhoid, but not to a statistically significant level.

Conclusion Ligasure hemorrhoidectomy is safer in terms of postoperative complications and treatment success is greater in patients with grade 3 hemorrhoids compared with those with grade 4 hemorrhoids.

Keywords

ligasure hemorrhoidectomy - grade 3–4 hemorrhoid - complication

Author's Contribution

Ali Kemal Taşkın and Enes Kandemir made the study design, data collection, data analysis, and writing. In addition, Ali Kemal Taşkın did a literature review and writing.


Place of work: This study was conducted at 'University of Health Science, Bursa Yuksek Specialization Training and Research Hospital, Department of General Surgery, Bursa, Turkey'




Publication History

Received: 27 June 2024

Accepted: 24 October 2024

Article published online:
18 December 2024

© 2024. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution 4.0 International License, permitting copying and reproduction so long as the original work is given appropriate credit (https://creativecommons.org/licenses/by/4.0/)

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