Haemorrhoidectomy with Ligasure™vs conventional excisional techniques: meta-analysis of randomized controlled trials

Objective  To compare the use of LigaSure devices with conventional excisional techniques, circular stapling and use of Harmonic Scalpel in patients with symptomatic haemorrhoids and to review literature on LigaSure technology (Valleylab Inc. USA). Method  A literature review was performed using the...

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Bibliographic Details
Published in:Colorectal disease 2010-02, Vol.12 (2), p.85-93
Main Authors: Milito, G., Cadeddu, F., Muzi, M. G., Nigro, C., Farinon, A. M.
Format: Article
Language:English
Subjects:
diathermy
Electrocoagulation - adverse effects
Electrocoagulation - methods
haemorrhoidectomy
Hemorrhoids - surgery
Humans
Ligasure
meta-analysis
Pain, Postoperative - etiology
Postoperative Hemorrhage - etiology
randomized trial
Recurrence
Surgical Staplers
Wound Healing
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Summary:Objective  To compare the use of LigaSure devices with conventional excisional techniques, circular stapling and use of Harmonic Scalpel in patients with symptomatic haemorrhoids and to review literature on LigaSure technology (Valleylab Inc. USA). Method  A literature review was performed using the National Library of Medicine’s Pubmed Database using the keywords Ligasure, haemorrhoidectomy, vessel sealing technology. Randomized trials comparing LigaSure with other techniques of excisional haemorrhoidectomy with valid end points were reviewed in the present article and included in a quantitative meta‐analysis. Results  There was no significant difference in the proportion of patients cured after Ligasure haemorrhoidectomy or other excisional techniques (P > 0.05). Patients treated with LigaSure had a significantly shorter operative time (P 
ISSN:1462-8910
1463-1318
DOI:10.1111/j.1463-1318.2009.01807.x