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Comparison of Vessel Sealing Systems with Conventional
BACKGROUND: Haemorrhoids are cushions of submucosal vascular tissue located in the anal canal starting just distal to the dentate line. Haemorrhoidal disease is a common anorectal disorder which has symptoms of bleeding, prolapse, pain, thrombosis, mucus discharge, and pruritus. Haemorrhoidectomy is...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Kowsar
2013
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3840836/ https://www.ncbi.nlm.nih.gov/pubmed/24349747 http://dx.doi.org/10.5812/ircmj.10180 |
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author | Peker, Kemal İnal, Abdullah Güllü, Huriye Gül, Düriye Şahin, Murat Ozcan, Ayca Dumanli Kılıç, Kemal |
author_facet | Peker, Kemal İnal, Abdullah Güllü, Huriye Gül, Düriye Şahin, Murat Ozcan, Ayca Dumanli Kılıç, Kemal |
author_sort | Peker, Kemal |
collection | PubMed |
description | BACKGROUND: Haemorrhoids are cushions of submucosal vascular tissue located in the anal canal starting just distal to the dentate line. Haemorrhoidal disease is a common anorectal disorder which has symptoms of bleeding, prolapse, pain, thrombosis, mucus discharge, and pruritus. Haemorrhoidectomy is one of most frequently performed anorectal operation worldwide. OBJECTIVES: The aim of this study was to compare the effectiveness of the LigaSure tissue sealing device, Harmonic Scalpel and conventional MM open haemorrhoidectomy. MATERIALS AND METHODS: Sixty-nine patients with newly diagnosed symptomatic grade three or grade four haemorrhoidal disease, from July 2011 to December 2011 were recruited for the study. Patients were prospectively randomized to LigaSure, Harmonic Scalpel and conventional haemorrhoidectomy. Patients were evaluated on the basis of the mean operative time, postoperative pain, day of discharge, early and late complications. RESULTS: Each group has twenty-three patients. Ten (14.5 %) were female and fifty-nine (85.5 %) were male. Mean age were 44.5 ± 10.8 for LigaSure group, 39.5±14.4 for Harmonic Scalpel group and 39.8 ± 13.6 for conventional haemorrhoidectomy group. Mean operative time was 12.6 ± 2.9 for LigaSure group, 12.6 ± 2.5 for Harmonic Scalpel group and 22.3 ± 4.5 for conventional haemorrhoidectomy group. Postoperative pain and required analgesic dose were significantly lower for conventional haemorrhoidectomy. Wound healing was also more rapid in conventional haemorrhoidectomy than both LigaSure and Harmonic Scalpel. CONCLUSIONS: Lateral heat dissipation of energy based cautery such as Harmonel Scalpel and LigaSure is considerably high when compared with conventional methods. More thermal damage which is generated on tissue seems to be the reason for increased degree of postoperative pain and delay in wound healing. |
format | Online Article Text |
id | pubmed-3840836 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2013 |
publisher | Kowsar |
record_format | MEDLINE/PubMed |
spelling | pubmed-38408362013-12-12 Comparison of Vessel Sealing Systems with Conventional Peker, Kemal İnal, Abdullah Güllü, Huriye Gül, Düriye Şahin, Murat Ozcan, Ayca Dumanli Kılıç, Kemal Iran Red Crescent Med J Research Article BACKGROUND: Haemorrhoids are cushions of submucosal vascular tissue located in the anal canal starting just distal to the dentate line. Haemorrhoidal disease is a common anorectal disorder which has symptoms of bleeding, prolapse, pain, thrombosis, mucus discharge, and pruritus. Haemorrhoidectomy is one of most frequently performed anorectal operation worldwide. OBJECTIVES: The aim of this study was to compare the effectiveness of the LigaSure tissue sealing device, Harmonic Scalpel and conventional MM open haemorrhoidectomy. MATERIALS AND METHODS: Sixty-nine patients with newly diagnosed symptomatic grade three or grade four haemorrhoidal disease, from July 2011 to December 2011 were recruited for the study. Patients were prospectively randomized to LigaSure, Harmonic Scalpel and conventional haemorrhoidectomy. Patients were evaluated on the basis of the mean operative time, postoperative pain, day of discharge, early and late complications. RESULTS: Each group has twenty-three patients. Ten (14.5 %) were female and fifty-nine (85.5 %) were male. Mean age were 44.5 ± 10.8 for LigaSure group, 39.5±14.4 for Harmonic Scalpel group and 39.8 ± 13.6 for conventional haemorrhoidectomy group. Mean operative time was 12.6 ± 2.9 for LigaSure group, 12.6 ± 2.5 for Harmonic Scalpel group and 22.3 ± 4.5 for conventional haemorrhoidectomy group. Postoperative pain and required analgesic dose were significantly lower for conventional haemorrhoidectomy. Wound healing was also more rapid in conventional haemorrhoidectomy than both LigaSure and Harmonic Scalpel. CONCLUSIONS: Lateral heat dissipation of energy based cautery such as Harmonel Scalpel and LigaSure is considerably high when compared with conventional methods. More thermal damage which is generated on tissue seems to be the reason for increased degree of postoperative pain and delay in wound healing. Kowsar 2013-06-05 2013-06 /pmc/articles/PMC3840836/ /pubmed/24349747 http://dx.doi.org/10.5812/ircmj.10180 Text en Copyright © 2013, Iranian Red Crescent Medical Journal http://creativecommons.org/licenses/by/3.0 This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Research Article Peker, Kemal İnal, Abdullah Güllü, Huriye Gül, Düriye Şahin, Murat Ozcan, Ayca Dumanli Kılıç, Kemal Comparison of Vessel Sealing Systems with Conventional |
title | Comparison of Vessel Sealing Systems with Conventional |
title_full | Comparison of Vessel Sealing Systems with Conventional |
title_fullStr | Comparison of Vessel Sealing Systems with Conventional |
title_full_unstemmed | Comparison of Vessel Sealing Systems with Conventional |
title_short | Comparison of Vessel Sealing Systems with Conventional |
title_sort | comparison of vessel sealing systems with conventional |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3840836/ https://www.ncbi.nlm.nih.gov/pubmed/24349747 http://dx.doi.org/10.5812/ircmj.10180 |
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