Ligasure versus Ferguson hemorrhoidectomy in the treatment of hemorrhoids: a meta-analysis of randomized control trials.
OBJECTIVE
To compare outcomes of Ligasure hemorrhoidectomy (LH) versus Ferguson hemorrhoidectomy (FH) by a meta-analysis of available randomized controlled trials.


METHODS
Original studies in any language were searched from MEDLINE database, PubMed, Web of science and the Cochrane Library database, and Wangfang database. Randomizes control trials that compared LH with FH were identified. Data were extracted independently for each study and a meta-analysis was performed using fixed-effects and random-effects models.


RESULTS
Five trials including 318 patients met the inclusion criteria. The urinary retention rate and early postoperative pain scores were higher in patients undergoing FH. Patients treated with Ligasure had a significantly shorter operative time and hospital stay than the patients submitted to Ferguson techniques. The blood loss during operation was less in Ligasure group than Ferguson group. No statistically significant differences were noted in postoperative bleeding, difficult defacating, anal fissure, anal stenosis, and incontinence.


CONCLUSIONS
Our meta-analysis shows that LH is superior to FH in the short-term outcomes. Future studies addressing long-term outcomes are needed to prove these results.
*Department of Anorectal Surgery, the First Affiliated Hospital, Zhejiang Chinese Medical University, Shangcheng District, Hangzhou, Zhejiang Province †Department of Gastrointestinal Surgery, the Sixth Affiliated Hospital, Sun Yat-Sen University, Tianhe District, Guangzhou, Guangdong Province, P.R. China.
Li
L
Xu
Honglei
H
Chen
Guoqiang
G
Lin
Qiongxiang
Q
Ge
D061865:Hemorrhoidectomy / Q000379:methods*; D006484:Hemorrhoids / Q000601:surgery*; D006801:Humans; D008026:Ligation / Q000295:instrumentation; D016032:Randomized Controlled Trials as Topic; D017792:Surgical Stapling