title: Comparison of hemorrhoidectomy by LigaSure with conventional Milligan Morgan's hemorrhoidectomy.
abstract: OBJECTIVE
  To compare the efficacy of haemorrhoidectomy done by using LigaSure with conventional Milligan Morgan haemorrhoidectomy.
  
  
  METHODS
  This randomized controlled trial was done at Department of Surgery Dow University Hospital Karachi during January 2013 to September 2015. A total of 55 patients were included in the study. Patients were randomly allocated to group A (Haemorrhoidectomy by Ligasure) and group B (Milligan Morgan Haemorrhoiectomy). Efficacies of both procedures were compared by operative time, Blood loss, wound healing, and pain score on immediate, 1st and 7(th) post operative day.
  
  
  RESULTS
  Out of total 55 patients 23 were male and 32 were females. The most common group of age involved was between 40 - 60 years. Third degree Heamorrhoids were present in 37 (67.3%) of patients while remaining 18 (32.7%) had fourth degree Heamorrhoids. Group A included 29 cases while Group B included 26 cases. The mean operating time of Group A was 52.5 with standard deviation of 11.9 while it was 36.6± 9.8 in the other group. The mean blood loss in group A was 51.92 with standard deviation of 15.68 while it was 70.34±25.59 in group B. Overall pain score was less in those patients who underwent Heamorrhoidectomy by Ligasure method.
  
  
  CONCLUSIONS
  The efficacy of Heamorrhoidectomy by Ligasure is better than the traditional Milligan Morgan Heamorrhoidectomy but we need more clinical trials with large sample size and long term follow ups.
authors.affiliation: Dr. Nighat Bakhtiar, MBBS. Post Graduate General Surgery Fellowship trainee, Department of Surgery, Dow International Medical College/ Dow University Hospital, Dow University of Health Sciences, Karachi, Pakistan. Department of Surgery, Dow International Medical College/ Dow University Hospital, Dow University of Health Sciences, Karachi, Pakistan.
authors.forename: Nighat
authors.initials: N
authors.lastname: Bakhtiar
authors.affiliation: Prof. Foad Ali Moosa, MBBS, FRCS. Professor & Head, Department of Surgery, Dow International Medical College/ Dow University Hospital, Dow University of Health Sciences, Karachi, Pakistan.
authors.forename: Foad Ali
authors.initials: FA
authors.lastname: Moosa
authors.affiliation: Dr. Farhat Jaleel, MBBS, FCPS (General Surgery). Associate Professor, Department of Surgery, Dow International Medical College/ Dow University Hospital, Dow University of Health Sciences, Karachi, Pakistan.
authors.forename: Farhat
authors.initials: F
authors.lastname: Jaleel
authors.affiliation: Dr. Naeem Akhtar Qureshi, MBBS, FCPS (General Surgery). Assistant Professor, Department of Surgery, Dow International Medical College/ Dow University Hospital, Dow University of Health Sciences, Karachi, Pakistan.
authors.forename: Naeem Akhtar
authors.initials: NA
authors.lastname: Qureshi
authors.affiliation: Dr. Masood Jawaid, MBBS, MCPS, MRCS, FCPS (General Surgery), MHPE. Visiting Faculty, University of Health Sciences, Lahore, Pakistan.
authors.forename: Masood
authors.initials: M
authors.lastname: Jawaid
keywords: Efficacy; Heamorrhoidectomy; LigaSure; Milligan Morgan