title: Randomized Controlled Trial Comparing the Effects of Vessel Sealing Device and Milligan Morgan Technique on Postoperative Pain Perception after Hemorrhoidectomy.
abstract: BACKGROUND
  The aim of this study was to compare postoperative pain perception after Milligan Morgan and Ligasure™ 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™ 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™ group had higher visual analogue scale scores (4 ± 2.61) when compared to the Milligan Morgan hemorrhoidectomy group (2.43 ± 1.20). This difference on the third postoperative day visual analogue scale scores was statistically significant (p < 0.025).
  
  
  CONCLUSIONS
  Ligasure™ does not seem to have an advantage in postoperative pain when compared to Milligan Morgan hemorrhoidectomy.
authors.affiliation: Ankara Numune Teaching Hospital General Surgery Clinic, and Corum Teaching Hospital, General Surgery Clinic, Ankara, Turkey.
authors.forename: Mehmet
authors.initials: M
authors.lastname: Onur Gülseren
authors.forename: Tolga
authors.initials: T
authors.lastname: Dinc
authors.forename: Vasfi
authors.initials: V
authors.lastname: Özer
authors.forename: Baris
authors.initials: B
authors.lastname: Yildiz
authors.forename: Mükerrem
authors.initials: M
authors.lastname: Cete
authors.forename: Faruk
authors.initials: F
authors.lastname: Coskun
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D005260:Female; D061865:Hemorrhoidectomy / Q000295:instrumentation / Q000379:methods*; D006484:Hemorrhoids / Q000601:surgery*; D006488:Hemostasis, Surgical / Q000295:instrumentation / Q000379:methods*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010147:Pain Measurement; D010149:Postoperative Pain / Q000175:diagnosis / Q000517:prevention & control*; D011446:Prospective Studies; D016896:Treatment Outcome; D055815:Young Adult