COMPARISON OF EFFECTIVENESS OF HEMORRHOIDECTOMY WITH USE OF LIGASURE WITH TRADITIONAL MILLIGAN MORGAN HEMORRHOIDECTOMY

Objective: The aim of this study is to compare the effectiveness of hemorrhoidectomy carried out with the utilization of LigaSure with the tradition procedure of Milligan Morgan Hemorrhoidectomy. Methodology: This research work carried out in the Surgery Department of Baqai University Hospital from March 2017 to November 2019. A sum of total 55 patients were the part of this research work. We randomly selected the patients in Group-A (Hemorrhoidectomy by using LigaSure) and Group-B (Milligan Morgan Hemorrhoidectomy). We compared the effectiveness of both of the methods by duration of surgery, loss of blood, healing of wound and scores of immediate, 1st and 7th day after the surgical intervention. Results: Out of 55 patients, 23 patients were male and 32 patients were females. The most common involved age group was present with having age 40 to 60 years. 3rd degree hemorrhoids were available in 67.3% (n: 37) patients whereas remaining 32.7% (n: 18) patients had the 4th degree hemorrhoids. Group-A contained 29 patients whereas there were 26 patients in Group-B. The average duration of surgery of Group-A was 52.5 ± 11.9 whereas it was 36.6 ± 9.8 in Group-B. Average loss of blood in the patients of Group-A was 51.92 ± 15.68 whereas it was 70.34 ± 25.59 in Group-B. There were low scores of pains in the patients of Group-A. Conclusion: Hemorrhoidectomy by using LigaSure is much better procedure as compared to conventional Milligan Morgan Hemorrhoidectomy but we need further research works with large samples size and for longer duration to consolidate the findings of this research work. KEY WORDS: Hemorrhoidectomy, Intervention, Effectiveness, LigaSure