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Invited Critique
December 01, 2007

Meta-analysis of Short-term Outcomes of Randomized Controlled Trials of LigaSure vs Conventional Hemorrhoidectomy—Invited Critique

Arch Surg. 2007;142(12):1218. doi:10.1001/archsurg.142.12.1218

The authors performed a meta-analysis of randomized controlled trials comparing short-term outcomes in LigaSure and conventional hemorrhoidectomy. They found that operative time, blood loss, and pain on postoperative day 1 were significantly less following LigaSure hemorrhoidectomy than conventional hemorrhoidectomy. For minor procedures, blood loss is realistically not a significant factor and the difference in operative times is also not clinically significant. Pain, however, remains an important issue.

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