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Subject: Hemorrhoidectomy
Subject: Vessel sealing


Year: 2021


Type: Proceeding article



Title: Ligasure hemorrhoidectomy (LH) with „near base“ technique


Author: Tahir, SHenol
Author: Ambardjieva, Martina
Author: Jovanovska, Frosina
Author: Mustafova, Alma
Author: Dervisov, Kristijan
Author: Limani, Nimetula
Author: Dalipi, Berat
Author: Markov, Petar



Abstract: Ligasure hemorrhoidectomy (LH) with „near base“ technique Şenol Tahir*, Martina Ambardjieva, Frosina Jovanovska, Alma Mustafova, Kristijan Dervisov, Nimetula Limani, Berat Dalipi, Petar Markov University Clinic for Surgical Diseases, General and Abdominal departemen – St. Naum Ohridski, Skopje, N. Macedonia Background: In this study we evaluate the use of MilliganMorgan hemorrhoidectomy with Ligasure vessel sealing. Methods: Grades 3 and 4 hemorrhoids are operated with Ligasure by coagulation and cutting of the hemorrhoids at positions 5, 7 and 11 hour. Te patients received premedication, analgesia and intravenous 500 mg metronidazole preoperatively. Under anesthesia, placed in a lithotripsy position, the anoscope is placed with a easy retraction, than a 5 mm V shape incision is made with the scalpel at the anocutaneous border. Te nodule was lifted with an instrument and the LigaSure was placed on the base of the nodule (leaving 2 mm enough mucosa above the sphincter), coagulated and incised. Te control check, 24 hours later and sent home with oral analgesic and metronidazole therapy. Follow-up 7, 14 and 28th day Results: 52 patients undergoing LH surgery, with an average age of 42.5 years. 59 % are women and 56 % are grades III. Average operative intervention 17.0+4.1 minutes, hospital stay 1.2 days, Postoperative pain (VAS1-6) 3. Urinary retention 0.4 %. Minor bleeding 5.6 %. Pruritus in 5.6 %, gas incontinence 7.6 %. No stenosis or incontinence. Conclusions: LH is an efective and safe surgical method and it should be used as a routine.


Publisher: Springer Science and Business Media LLC


Relation: European Surgery



Identifier: oai:repository.ukim.mk:20.500.12188/25891
Identifier: http://hdl.handle.net/20.500.12188/25891
Identifier: 10.1007/s10353-021-00737-5
Identifier: https://link.springer.com/content/pdf/10.1007/s10353-021-00737-5.pdf
Identifier: https://link.springer.com/article/10.1007/s10353-021-00737-5/fulltext.html
Identifier: https://link.springer.com/content/pdf/10.1007/s10353-021-00737-5.pdf
Identifier: 53
Identifier: S1



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Ligasure hemorrhoidectomy (LH) with „near base“ technique202126