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Erschienen in:
01.08.2005 | Original Contributions
Prospective, Randomized Study: Proximate® PPH Stapler vs. LigaSure™ for Hemorrhoidal Surgery
Erschienen in: Diseases of the Colon & Rectum | Ausgabe 8/2005
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It has been shown that for hemorrhoidal surgery both LigaSure™ and stapler cause less pain than diathermy or scissor dissection. This study has attempted to establish which of the less painful alternatives proves best in an unselected series of patients with hemorrhoidal disease.
METHODS
Fifty patients were randomized to undergo stapling hemorrhoidopexy or LigaSure™ hemorrhoidectomy. Parameters investigated were pain (primary parameter), patient satisfaction with treatment, and recovery of personal activity. Other factors investigated were operative result, ease of handling, analgesic requirements, and postoperative course.
RESULTS
Both methods were found to be equivalent in all major aspects analyzed. Postoperative pain scores (P = 0.99), patient satisfaction (P = 1), and self-assessment of activity (P = 0.99) were almost identical in both groups of patients. Significant differences were found in none of the numerous factors investigated.
CONCLUSION
Both methods can be used safely and without major disadvantage for the patient regardless of stage and extent of hemorrhoidal disease.