Comparison of LigaSure Versus Conventional (Milligan-Morgan) Hemorrhoidectomy for the Treatment of 3rd Degree Hemorrhoids

  • Saadia Aslam Post Graduate Trainee Registrar, Surgical Unit-III, Allied Hospital, Faisalabad-Pakistan
  • Muhammad Dilawaiz Mujahid Assistant Professor, Surgery, Faisalabad Medical University, Allied Hospital, Faisalabad-Pakistan
  • Shaukat Ali Assistant Professor, Surgery FMU/Allied Hospital, Faisalabad-Pakistan
  • Muhammad Asif Post Graduate Resident, Surgical Unit-III Allied Hospital, Faisalabad-Pakistan
  • Muhammad Faisal Bilal Lodhi Registrar / Professor of Surgery Faisalabad Medical University, Faisalabad-Pakistan
  • Zafar Ali Choudhry Vice Chancellor, Professor of Surgery Faisalabad Medical University, Faisalabad-Pakistan
Keywords: Hemorrhoids, Ligasure hemorrhoidectomy, post-operative pain


Objective: To compare Ligasure hemorrhoidectomy with conventional Milligan Morgan hemorrhoidectomy for treatment of third-degree hemorrhoids in terms of mean per-operative blood loss and post-operative pain. Study Design: Randomized Controlled Trial. Settings: Department of General Surgery, Allied Hospital Faisalabad. Duration: 8th August 2016 to 7th February 2017. Methodology: A total of 60 patients were placed randomly into two equal groups. Group A in which Ligasure hemorrhoidectomy was done while group B included the cases in which conventional Milligan Morgan hemorrhoidectomy was done. Data was collected for blood loss and pain. Results: Patient’s mean age was 50.40 ± 14.90 and 48.47 ± 13.63 years in group A and Group B respectively. Forty one out of 60 patients were male (68.33%) while 19 were female (31.67%). Group A had a mean post-operative pain of 5.39 ± 2.51 and group B had 8.53 ± 3.78 (p = 0.0001). Mean per-operative blood loss in group A was 2.47 ± 1.22 ml as compared to.83 ± 4.44 ml of group B (p = 0.0001). Conclusion: Blood loss during surgery and post-operative pain is less after Ligasure hemorrhoidectomy as compared to Milligan Morgan hemorrhoidectomy.