Ligasure versus Ferguson hemorrhoidectomy in the treatment of hemorrhoids: a meta-analysis of randomized control trials

Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
Li XuQiongxiang Ge

Abstract

To compare outcomes of Ligasure hemorrhoidectomy (LH) versus Ferguson hemorrhoidectomy (FH) by a meta-analysis of available randomized controlled trials. Original studies in any language were searched from MEDLINE database, PubMed, Web of science and the Cochrane Library database, and Wangfang database. Randomizes control trials that compared LH with FH were identified. Data were extracted independently for each study and a meta-analysis was performed using fixed-effects and random-effects models. Five trials including 318 patients met the inclusion criteria. The urinary retention rate and early postoperative pain scores were higher in patients undergoing FH. Patients treated with Ligasure had a significantly shorter operative time and hospital stay than the patients submitted to Ferguson techniques. The blood loss during operation was less in Ligasure group than Ferguson group. No statistically significant differences were noted in postoperative bleeding, difficult defacating, anal fissure, anal stenosis, and incontinence. Our meta-analysis shows that LH is superior to FH in the short-term outcomes. Future studies addressing long-term outcomes are needed to prove these results.

References

Jan 25, 2003·Diseases of the Colon and Rectum·Yuan-Chang Chung, Hue-Jean Wu
Oct 16, 2004·Diseases of the Colon and Rectum·Joel Sayfan
Jan 31, 2008·Diseases of the Colon and Rectum·D F AltomareUNKNOWN Ligasure for Hemorrhoids Study Group
Jul 25, 2009·Techniques in Coloproctology·M FareedA Aly
Sep 26, 2009·Techniques in Coloproctology·D F Altomare
Sep 23, 2011·The Indian Journal of Surgery·Rahul KhannaAjay K Khanna
May 30, 2013·Current Gastroenterology Reports·Varut Lohsiriwat
Jul 3, 2013·Surgery Today·Chuang-Wei ChenKoung-Hong Hsiao
Aug 8, 2013·World Journal of Gastroenterology : WJG·Jun YangDa-Nian Tong
Apr 16, 2014·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Hong-lei ChenJun-sheng Peng

❮ Previous
Next ❯

Citations

Oct 26, 2018·International Journal of Colorectal Disease·Ko-Chao LeeHong-Hwa Chen
Feb 9, 2018·Diseases of the Colon and Rectum·Bradley R DavisScott R Steele
Feb 19, 2020·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·R R van TolS O Breukink
Apr 24, 2018·International Journal of Colorectal Disease·R R van TolS O Breukink
May 7, 2021·Diseases of the Colon and Rectum·Daniel L Feingold

❮ Previous
Next ❯

Software Mentioned

Ligasure
RevMan5

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.