A Comparative Study Between LigaSure Hemorrhoidectomy and Classical Milligan-Morgan Procedure Under Spinal Anesthesia: post operative pain and outcomes

Abstract

Hemorrhoidal disease is still one of the most common anorectal disorders seen in clinical practice. A lot of patients come in with pain, bleeding, especially grades three and four surgery is still the most reliable way to manage the problem. The Milligan Morgan (ММ.) open hemorrhoidectomy has long been seen as the best way to treat such patients. The LigaSure approach has more attention in the last several years. This gadget uses bipolar electrothermal energy to close vessels and cut out tissue at the same time. Surgeons at Baqubah General Hospital, the study aimed.  to  evaluate  outcomes  between  LigaSure  hemorrhoidectomy  and  the traditional Milligan Morgan operation, both conducted under spinal, anesthesia. This assessment concentrated on the critical factors for both patients and surgeons: the execution of the procedure, postoperative recovery, complication rates, patient satisfaction. The study included 500 adult patients diagnosed with grade three or four hemorrhoidal illness who underwent surgery, at Baqqubah General Hospital from January to December 2023. The 500 people who took part were split into two groups:  250  had  the  LigaSure  hemorrhoidectomy  and  250  had  the  Milligan. Morgan operation. All surgeries were done under spinal anesthesia. Data gathering involved reviewing hospital records, conducting direct interviews, and performing follow-up  visits,  so.  guaranteeing  an  accurate  account  of  each  patient. postoperative experience. The main things that were looked at were the amount of discomfort after the operation (measured by a validated questionnaire), the usage of painkillers, the time it took for the patient to recover, any problems that came up, and how satisfied the patient was with the surgery.