Comparative Outcomes between Ligasure and THD Techniques for the Management of Haemorrhoidal Disease

Bahena-Aponte JA, de Jesus Mosso M, Hernández MV, Narsil A. Arcadia SM, Aldana-Martínez OH and González Contreras QH

Head of Teaching and Research and Surgery Specialist, Hospital General Ajusco Medio, México
Hospital HMG Coyoacan, México
Medical Specialist in Anesthesiology, Hospital HMG Coyoacan, México
Hospital Central Militar, México
Medical Resident of Urology, Hospital Regional de Monterrey, México
Specialist in Coloproctology, Hospital HMG Coyoacan, México

^*Correspondance to: Monica de Jesus Mosso 

 PDF  Full Text DOI: 10.25107/2474-1647.1229

Abstract

Background: The major concern in the surgical management of hemorrhoidal disease has been the postoperative recovery, particularly pain. In recent years new technologies has been developed, such as Ligasure (small jaw) and transanal hemorrhoidal dearterialization (THD), demonstrating encouraging surgical result during the postoperative period.Aim: To compare ligasure vs. THD in retrospective fashion analyzing a total of 50 cases of hemorrhoidal disease divided in two groups, group A for Ligasure and group B for THD approach in terms of surgical outcomes and recurrences.Material and
Methods: During the period of June 2012 to August 2014 a total of 50 patients were included into two groups. Group A Ligasure and Group B THD. Demographic data as age, sex, surgical outcomes and recurrence rate were analyzed. The patients were treated in several private third level hospitals in Mexico City.Results: Group A had an average age of 39.5 years old, group B 40.2 years old. In both groups the male sex predominates, 80% and 54% respectively. None patient developed recurrence in both groups, however, 3 patients in Group A developed skin tags.
Conclusion: Our study supports that both Ligasure and THD techniques are probably very similar outcomes in regard to postoperative pain, recovery time and complications in modern surgery for the treatment of hemorrhoidal disease. However, the Ligasure could have slightly more favorable postoperative immediate results as well as technical and economical advantages.

Keywords

Ligasure; THD; Hemorrhoidal disease

Cite the article

Bahena-Aponte JA, de Jesus Mosso M, Hern�ndez MV, Narsil A. Arcadia SM, Aldana-Mart�nez OH, Gonz�lez Contreras QH. Comparative Outcomes between Ligasure and THD Techniques for the Management of Haemorrhoidal Disease. Clin Surg. 2016; 1: 1229.