Background and Aim: This simple randomized study to evaluate the short term results of ligation anopexy technique in comparison to the traditional diathermy hemorrhoidectomy in management of advanced hemorrhoidal disease. Patients and Methods: forty patients complaining of advanced hemorrhoidal disease (grade III and IV) were randomly assigned into two equal groups of twenty patients, Group A: underwent diathermy hemorrhoidectomy (DH), and Group B: underwent ligation anopexy (LA). Follow up for three months was done to evaluate the early and late complications and the symptoms control in both groups. Results: the mean operative time was significantly shorter in patients treated with ligation anopexy, (P=0.008), and the hospital stay was longer in diathermy hemorrhoidectomy group (DH) but the difference was not significant. The intra operative blood loss was significantly less in ligation anopexy group (LA), (p=0.021). The post-operative pain in ligation anopexy group (LA) was significantly less than that in diathermy hemorrhoidectomy group (DH) with significantly shorter duration (p= 0.002)and the return to normal activity was significantly faster in ligation anopexy group, where the mean off-work time was 7.25 ± 1.55 days while in diathermy hemorrhoidectomy group it was 10.40 ± 1.85 days, ( P=0.001). By the end of follow up period ther was no significant difference between the two groups regarding the symptoms control. Conclusion: ligation anopexy is an easy, safe, and cheap, technique which has a comparable success rate with diathermy hemorrhoidectomy regarding the early symptoms control with less complications rate so it may offers a good alternative to other treatment modalities of advanced hemorrhoidal disease.
Hemida, M., Nenaa, A., El-shazly, W., & Zaky, Y. (2013). LIGATION ANOPEXY VERSUS DIATHERMY HEMORRHOIDECTOMY IN TREATMENT OF ADVANCED HEMORRHOIDAL DISEASE. The Egyptian Journal of Surgery, 32(3), 225-233. doi: 10.21608/ejsur.2013.366736
MLA
Mahmoud A. Hemida; Ahmed H. Nenaa; Waleed G. El-shazly; Yasser M. Zaky. "LIGATION ANOPEXY VERSUS DIATHERMY HEMORRHOIDECTOMY IN TREATMENT OF ADVANCED HEMORRHOIDAL DISEASE", The Egyptian Journal of Surgery, 32, 3, 2013, 225-233. doi: 10.21608/ejsur.2013.366736
HARVARD
Hemida, M., Nenaa, A., El-shazly, W., Zaky, Y. (2013). 'LIGATION ANOPEXY VERSUS DIATHERMY HEMORRHOIDECTOMY IN TREATMENT OF ADVANCED HEMORRHOIDAL DISEASE', The Egyptian Journal of Surgery, 32(3), pp. 225-233. doi: 10.21608/ejsur.2013.366736
VANCOUVER
Hemida, M., Nenaa, A., El-shazly, W., Zaky, Y. LIGATION ANOPEXY VERSUS DIATHERMY HEMORRHOIDECTOMY IN TREATMENT OF ADVANCED HEMORRHOIDAL DISEASE. The Egyptian Journal of Surgery, 2013; 32(3): 225-233. doi: 10.21608/ejsur.2013.366736
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