LigaSure vessel sealing system versus conventional tools in Milligan and Morgan Haemorrhoidectomy: A Randomized control trial.

Objectives: To evaluate the efficacy and safety of the LigaSure vessel sealing system in Milligan – Morgan Haemorrhoidectomy and compare to conventional tools. Study Design: Randomized control trial. Setting: Department of surgery Bolan University of Medical and Health Sciences at Sandeman (prov) Hospital Quetta. Period: January 2017 to June 2018. Material & Methods: Randomized controlled study designed for comparison was carried out. Total 86 patients of both gender had grade III and IV hemorrhoids were enrolled and randomly divided in two groups. LigaSure group and Conventional group. After obtained institutional permission and informed consent all patients were prepared for surgery as per unit protocol. Patients of both groups were evaluated for operative time, per operative bleeding, post-operative pain, hospital stay, wound healing time, and time return to work. Data collected and analyzed on SPSS version 20. Results: Total 86 patients enrolled for study 58 (66.4%) males and 28 (32.6%) females, age range 22-76 years. Patients randomly divided in LigaSure and conventional groups (43 in each group). Operative time and per operative bleeding was significantly less in LigaSure group as compared to conventional (P-Value, 0.001). Post-operative complications like pain and urine retention ware significantly less in LigaSure group (P-Value <0.001). Hospital stay, Healing time and return to routine life were significantly early in LigaSure group (p-Value <0.001). Conclusion: LigaSure sealing and cutting system is safe and effective tool in Milligan & Morgan Haemorrhoidectomy.