Sadegh Fazeli M, Safari S, Kazemeini A, Larti F, Joneidi E, Rahimi M, Meisami A,
Volume 69, Issue 8 (11-2011)
Abstract
Normal
0
false
false
false
EN-US
X-NONE
AR-SA
MicrosoftInternetExplorer4
Background: Hemorrhoid
is among the most common anorectal diseases and patients with high-grade disease
conditions need surgical treatment. Many surgical procedures are available to
treat the disease. The aim of this study was to compare the operative time and
outcomes, (post-operative pain and complications) of LigaSure hemorrhoidectomy
with those of the open conventional method.
Methods : This randomized single-blind clinical trial included 57 patients (28 in LigaSure and 29 in the open group). The
primary variable was the operative time for the excision of a single
hemorrhoidal packet. The other variables were post-operative pain measured by
morphine doses administered to control pain, scores of visual analogue scale (VAS) used to measure pain severity,
pain during home stay measured by doses of oral ibuprofen and the mean daily VAS scores, early complications
including bleeding and urinary retention, longer-term complications and time to
return to work.
Results : The demographic data were comparatively the same between the two
groups. The average time to excise a single packet of hemorrhoid was
significantly shorter in the LigaSure group (8.91
min vs. 17.35 min, P<0.001). Post-operative pain
measurements (morphine doses and VAS scores) were lower in the LigaSure group, but the differences were
not statistically significant (P=0.055 and 0.077, respectively). Complications of the two procedures were also comparable.
Neither of the groups returned to work in a shorter time.
Conclusion: LigaSure
hemorrhoidectomy seems to be a safe method and it can reduce the operative time
significantly. It may also have a modest effect on post-operative pain.
Tavassoli A, Abdollahi A, Golmohammadzadeh H,
Volume 70, Issue 5 (8-2012)
Abstract
Background: Regarding the limited number of studies on the feasibility of resection and repair of the small intestine by ligasure, we performed this study to compare ligasure with linear stapler for the previously mentioned operation.
Methods: This phase 1 clinical trial study was performed in Ghaem Hospital, an educational hospital affiliated to Mashhad University of Medical Sciences, from 2010 to 2011. After obtaining permission from the University's ethics committee and a written informed consent from each patient, we recruited 18 patients. The participants who had morbid obesity and were candidates for laparoscopic gastric bypass surgery were randomly allocated to two stapler and ligasure groups. The data were collected and analyzed by three statistical tests, including Mann-Whitney U test, by SPSS 16.
Results: All patients were female with the age range of 20-65 years. Cost in the stapler group ranged between 29,500,000 to 40,000,000 Rial (mean 31,830,000± 3,500,000 Rials) and in ligasure group it was between 24,000,000 to 35,000,000 Rials (mean 26,720,000± 3,290,000 Rials). There was a significant difference between the two groups in cost (P=0.004(. Duration of the operations were 200±3.4 and 240±10 minutes in the stapler and ligasure groups, respectively. The difference in duration was significant between the two groups (P=0.043). No significant differences were observed in complications.
Conclusion: Application of ligasure in resection and reconstruction of small intestine is more cost-effective than stapler, although duration of surgery is longer.
