Comparison of complications and safety of hemorrhoidectomy with ligasureand hemorrhoidectomy with ferguson: a randomized controlled clinical trial study

Introduction: Hemorrhoid is one of the most common anorectal diseases which affects ۵% 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. Methods: The study sample in this randomized controlled clinical trial studyincluded۵۴ 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), ۶, ۱۲, and ۲۴ hours after the surgery, patients’ pain and complications were assessed.The collected data were analyzed using SPSS software (version ۱۸)through independent t-test, Mann-Whitney, Friedman, Chi-square and Fisher’s exact test at a significance level of α=۰.۰۵. Results: The mean bleeding during the surgery was significantly lower in the Ligasuregroupthan the Ferguson group. The mean pain at ۰, ۶, ۱۲, and ۲۴ hafterthe surgery was not significantly different between the two groups.Postoperative complications were significantly higher in the Ligasuregroup than the Ferguson group. Conclusion: Ligasurehemorrhoidectomy is not superior to the Ferguson method in terms of analgesia up to ۲۴ h after the surgery; however, this method of surgeryis preferable to the Ferguson method in terms of bleeding during the surgery.

Keywords:

Fergusonprocedure , Hemorrhoidectomy , Ligasure Procedure