Aims And Objectives: The aim of the study was to compare the results of Ligasure hemorrhoidectomy and conventional haemorrhoidectomy in terms of Operating time and Blood loss, Post operative pain, Post operative complications, Hospital stay and Time to return to work.

Methods: The study population consisted of 60 patients who were admitted with Grade III or Grade IV Hemorrhoids. Patients were submitted to one of the surgical procedures mentioned above after randomising. The time for each surgical procedure, the per operative bleeding and Post-operative pain  using visual analogue scale , time for defecation after operation and pain and bleeding associated with it were assessed. Early post-operative complications, patients length of hospital stay and time to return to work were compared. A follow up examination was conducted for minimum period of 6 months.

Results: The duration of surgery (25.50±9.50 min versus 41.67±4.97, P value <0.001), per-operative bleeding (17.50±6.66 ml versus 27.17±2.52 ml, P value: <0.001), duration of stay in hospital (6.20±1.37 versus 10.40±1.52 days, P value: <0.001) was (statistic) significantly less with Ligasure Hemorrhoidectomy when compared to conventional Hemorrhoidectomy. Also Post operative pain and time taken to return to normal activity was almost similar in both methods. One patient in Ligasure Hemorrhoidectomy developed Anal stenosis and needed operative intervention.

Conclusion: Ligasure Hemorrhoidectomy is a sutureless, safe and effective procedure for haemorrhoids when compared with conventional variety and is a simpler technique and has the ability to make Hemorrhoidectomy a day care procedure.

Keywords:  Hemorrhoids, Ligasure Hemorrhoidectomy, Conventional Hemorrhoidectomy.

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Dr Prajwal R K