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Techniques in Coloproctology
Published in: Techniques in Coloproctology 4/2009

01-12-2009 | Invited Comment

Tips and tricks: hemorrhoidectomy with LigaSure™

Author: D. F. Altomare

Published in: Techniques in Coloproctology | Issue 4/2009

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Excerpt

The search of the most effective and less painful technique for the treatment of hemorrhoids is still a major concern for colorectal surgeons. The technique of LigaSure™ hemorrhoidectomy is just a new method to perform the classic operation described by Milligan and Morgan more than 70 years ago. This kind of surgical option still plays a significant role in the treatment of hemorrhoids, particularly for IV degree hemorrhoids [1], and is still considered the most effective treatment in term of hemorrhoid relapse [2]. …
Literature
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Altomare DF, Roveran A, Pecorella G, Gaj F, Stortini E (2006) The treatment of hemorrhoids: guidelines of the Italian Society of Colorectal Surgery. Tech Coloproctol 10:181–186CrossRefPubMed
2.
Shao WJ, Li GC, Zhang ZH, Yang BL, Sun GD, Chen YQ (2008) Systematic review and meta-analysis of randomized controlled trials comparing stapled haemorrhoidopexy with conventional haemorrhoidectomy. Br J Surg 95:147–160CrossRefPubMed
3.
Ganio E, Altomare DF, Gabrielli F, Milito G, Canuti S (2001) Prospective randomized multicentre trial comparing stapled with open haemorrhoidectomy. Br J Surg 88:669–674CrossRefPubMed
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Infantino A, Bellomo R, Dal Monte PP et al (2009) Transanal haemorrhoidal artery echodoppler ligation and anopexy (THD) is effective for II and III degree haemorrhoids: a prospective multicentric study. Colorectal Dis (Epub ahead of print)
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Altomare DF, Milito G, Andreoli R et al (2008) Ligasure for Hemorrhoids Study Group. Ligasure Precise vs. conventional diathermy for Milligan–Morgan hemorrhoidectomy: a prospective, randomized, multicenter trial. Dis Colon Rectum 51:514–519CrossRefPubMed
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Carapeti EA, Kamm MA, McDonald PJ, Phillips RK (1998) Double-blind randomised controlled trial of effect of metronidazole on pain after day-case haemorrhoidectomy. Lancet 351:169–172CrossRefPubMed
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Balfour L, Stojkovic SG, Botterill ID, Burke DA, Finan PJ, Sagar PM (2002) A randomized, double-blind trial of the effect of metronidazole on pain after closed hemorrhoidectomy. Dis Colon Rectum 45:1186–1190CrossRefPubMed
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Ala S, Saeedi M, Eshghi F, Mirzabeygi P (2008) Topical metronidazole can reduce pain after surgery and pain on defecation in postoperative hemorrhoidectomy. Dis Colon Rectum 51:235–238CrossRefPubMed
Metadata
Title
Tips and tricks: hemorrhoidectomy with LigaSure™
Author
D. F. Altomare
Publication date
01-12-2009
Publisher
Springer Milan
Published in
Techniques in Coloproctology / Issue 4/2009
Print ISSN: 1123-6337
Electronic ISSN: 1128-045X
DOI
https://doi.org/10.1007/s10151-009-0534-y

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