Clinical analysis of Ligasure hemorrhoidectomy combined with knot-free barb wire for the mixed hemorrhoids
10.3760/cma.j.cn115396-20230308-00053
- VernacularTitle:Ligasure痔切除术联合免打结倒刺线用于治疗混合痔的临床分析
- Author:
Yang LI
1
;
Siwei TAN
Author Information
1. 首都医科大学附属北京友谊医院普通外科，北京 100050
- Keywords:
Hemorrhoids;
Day care;
Surgical procedures;
Sutures
- From:
International Journal of Surgery
2023;50(9):612-617
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To analyze the curative effect of Ligasure hemorrhoidectomy combined with knot-free barbed wire for patients with mixed hemorrhoidectomy in day ward.Methods:Retrospectively analyzed the case data of 126 patients, aged from 22 to 76 years (average age was 45.8 years), with grade Ⅲ and Ⅳ mixed hemorrhoids in the day ward of Beijing Friendship Hospital, Capital Medical University from January 2021 to December 2021, including 53 male cases and 73 female cases. According to the operation method, all patients were assigned to the observation group ( n=63) and the control group ( n=63). In the observation group, patients were operated with Ligasure hemorrhoidectomy combined with knot-free barbed wire. In the control group, patients underwent the Milligan-Morgan. Normal distribution of measurement data were expressed as mean±standard deviation ( ± s), and t test was used for comparison between groups. Count data were compared by Chi-square test or continuity correction Chi-square test.The operation time, intraoperative bleeding, postoperative pain, postoperative complications and hospitalization expenses were compared between the two groups. Results:The operation time and intraoperative blood loss in the observation group were significantly lower than those in the control group ( t=-7.74, P<0.001; t=-7.07, P<0.001). There was no significant difference in visual analogue scale between the two groups on the 1st, 3rd, 7th days after operation( t=-1.47, P=0.144; t=-0.32, P=0.749; t=-0.34, P=0.732). There were no significant differences in postoperative urinary retention, postoperative bleeding and perianal edema between the two groups ( χ2=0.34, P=0.559; χ2=1.81, P=0.179; χ2=1.92, P=0.165). However, the total incidence of complications in the observation group was significantly lower than that in the control group, the difference was statistically significant ( χ2=4.15, P=0.042). Hospitalization cost of observation group was higher than control group ( t=4.73, P<0.001). Conclusions:For patients with grade Ⅲ and Ⅳ mixed hemorrhoids in the day ward, Ligasure hemorrhoidectomy combined with knot-free barb wire can significantly shorten the operation time, reduce intraoperative blood loss, and lower the incidence of postoperative complications. It is safe and effective, which can meet the hemorrhoidectomy’s requirements of rapid, efficient and safe in the day ward.
