Journal of Surgery and Trauma
نشریه جراحی و تروما
J Surg Trauma
Medical Sciences
http://jsurgery.bums.ac.ir
1
admin
2345-4873
2345-4873
en
jalali
1400
4
1
gregorian
2021
7
1
9
2
online
1
fulltext
en
Comparison of complications and safety of hemorrhoidectomy with ligasureand hemorrhoidectomy with ferguson: a randomized controlled clinical trial study
جراحی عمومی
General Surgery
پژوهشي
Research
<ul>
<li><strong>Introduction: </strong>Hemorrhoid is one of the most common anorectal diseases which affects 5% of the general population. Complications and pain are inevitable after all surgeries with different intensities and degrees.Management and control of these complications is one of the most important aspects of postoperative care. There are surgical techniques and interventions for the treatment and control of pain after hemorrhoid. According to the contradictory results of the studies on surgical methods, the present study aimed to compare the effectiveness, complications, and safety of hemorrhoidectomy with Ligasureand Ferguson hemorrhoidectomy.</li>
<li><strong>Methods:</strong> The study sample in this randomized controlled clinical trial studyincluded54 patientswhowere randomly divided into two groupsofLigasureandFerguson surgery. Prior to the surgery, patients were educated abouttheVisual Analogue Scale(VAS).Patients underwent general anesthesia and the same surgeon performed the surgery in both groups. Immediately after the surgery (oncethe patient regainedconsciousness and understoodthe environment), 6, 12, and 24 hours after the surgery, patients’ pain and complications were assessed.The collected data were analyzed using SPSS software (version 18)through independent t-test, Mann-Whitney, Friedman, Chi-square and Fisher’s exact test at a significance level of α=0.05.</li>
<li><strong>Results:</strong> The mean bleeding during the surgery was significantly lower in the Ligasuregroupthan the Ferguson group. The mean pain at 0, 6, 12, and 24 hafterthe surgery was not significantly different between the two groups.Postoperative complications were significantly higher in the Ligasuregroup than the Ferguson group.</li>
<li><strong>Conclusion:</strong> Ligasurehemorrhoidectomy is not superior to the Ferguson method in terms of analgesia up to 24 h after the surgery; however, this method of surgeryis preferable to the Ferguson method in terms of bleeding during the surgery.</li>
</ul>
Fergusonprocedure, Hemorrhoidectomy, Ligasure Procedure
50
56
http://jsurgery.bums.ac.ir/browse.php?a_code=A-10-272-1&slc_lang=en&sid=1
Yaser
Dadpour Roudi
oabstudent@gmail.com
10031947532846007257
10031947532846007257
No
Department of Surgery, School of Medicine, Birjand University of Medical Sciences, Birjand, Iran
Hamid
Salehiniya
alesaleh70@yahoo
10031947532846007258
10031947532846007258
No
Social Determinants of Health Research Center, Birjand University of Medical Sciences, Birjand, Iran
Zabihullah
Mohaqiq
oabstudent@gmail.com
10031947532846007259
10031947532846007259
No
Student Research Committee, Birjand University of Medical Sciences, Birjand, Iran
Mohsen
Najmodini
Dr.mohsen_najmaddini@yahoo.com
10031947532846007260
10031947532846007260
Yes
Department of Surgery, School of Medicine, Birjand University of Medical Sciences, Birjand, Iran