Randomized Controlled Trial Comparing the Effects of Vessel Sealing Device and Milligan Morgan Technique on Postoperative Pain Perception after Hemorrhoidectomy

Background: The aim of this study was to compare postoperative pain perception after Milligan Morgan and Ligasure (TM) techniques in hemorrhoidectomy. Methods: Fifty-four patients diagnosed with Grade 3-4 hemorrhoids requiring surgery between May 2013 and September 2013 were enrolled in the study. Patients were randomized into either the Ligasure (TM) hemorrhoidectomy group (Group 1, n = 26) or the Milligan Morgan hemorrhoidectomy group (Group 2, n = 28). Results: The difference between visual analogue scale scores on postoperative day 1 was not statistically significant but on the third postoperative day, the Ligasure (TM) group had higher visual analogue scale scores (4 +/- 2.61) when compared to the Milligan Morgan hennorrhoidectomy group (2.43 +/- 1.20). This difference on the third postoperative day visual analogue scale scores was statistically significant (p < 0.025). Conclusions: Ligasure (TM) does not seem to have an advantage in postoperative pain when compared to Milligan Morgan hemorrhoidectomy. (C) 2015 S. Karger AG, Basel