Hemorrhoidectomy with LigaSure – an Experience

Anotacija

Background. Hemorrhoidectomy using the LigaSure system (LS) is a recent addition to the surgical armamentarium. Aim. To prospectively evaluate the outcomes of LigaSure hemorrhoidectomy in terms of blood loss, postoperative pain, duration of hospitalization, post-operative complications, and patients’ satisfaction. Methods. The records of all the cases who underwent LigaSure hemorrhoidectomy for internal hemorrhoids from June 2019 to May 2025 were analyzed. Demographics, comorbidities, type of anesthesia, procedure time, the volume of blood lost, postoperative pain, duration of hospitalization, post-operative complications, and the feedback expressed by the patients. Results. Out of 140 patients, there were 108 males and 32 females, with a mean age of 39.3 years. 88 (62.9%) cases were managed for Goligher’s grade III, and 52 (37.1%) had grade IV internal hemorrhoids. The mean procedure time was 14.3±3.9 min, respectively. The mean volume of blood lost in the procedure was 13.7 ml. The pain VAS score ranged from 3 to 7 (mean 4.83±0.93) and gradually decreased over 7 postoperative days. The mean duration to return to normal routines of life was 13.8±2.7 days, and 76% of patients were either highly satisfied or satisfied. Conclusion. Haemorrhoidectomy using LigaSure is a safe and effective method for the management of grade III and IV hemorrhoids.