DOI: 10.1093/bjs/znad241.478 ISSN:

314 Comparison of hemorrhoidectomy by LigaSure and conventional Milligan Morgan's Technique

Fahad Akhtar, Sidra Rauf, Aiman Noor, Azaz Ayubi, Fahim Sakhizada
  • Surgery



To compare outcomes of hemorrhoidectomy by LigaSure and conventional Milligan Morgan’s hemorrhoidectomy.


In this randomized controlled trial, we enrolled a total of seventy adult patients of either gender between age 17-80 years. All the enrolled patients presented with 3rd or 4th degree haemorrhoids and were planned for hemorrhoidectomy. The patients were assigned to two treatment groups. Group A (Milligan Morgan’s) patients were enrolled from one hospital and Group B (LigaSure) patients were enrolled form second hospital. Post-operative pain was assessed in both groups using VAS at 6, 12 and 24 hours along with amount of blood loss during the surgery. Duration of surgery (min) was estimated and compared in both the groups.


There were 62.9% males and 37.1% females in group A and 80.0% males and 20.0% females in group B (P=0.112). Mean age in group A and group B patients was 43.3 years ± 11.3 SD and 46.4 years ± 8.2 SD respectively. In group A, there were 68.96% patients having grade III and 31.4% patients having grade IV haemorrhoids and in group B, 57.1% patients had grade III and 42.9% patients had grade IV haemorrhoids (P=0.322). Mean VAS at 6 hours, 12 hours 24 hours, mean amount of blood loss during the surgery and mean duration of surgery was significantly shorter (P=0.001) in patients of group A as compared to patients of group B.


The LigaSure method had significantly lower degree of post operative pain, lesser amount of blood loss during the surgery and shorter duration of surgery as compared to Milligan-morgan method.

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