LigaSure hemorrhoidectomy vs Milligan morgan hemorrhoidectomy: A Quasi-Experimental Study.


  • Sarwat Bibi Aziz Fatimah Hospital, Faisalabad.
  • Khurram Saqib DHQ Hospital, Faisalabad.
  • Ifrah Irfan DHQ Hospital, Faisalabad.
  • Sumara Tabbasam AFMDC & Aziz Fatimah Hospital, Faisalabad.
  • Humaira Ahmad Allied Hospital Faisalabad.



Hemorrhoidectomy, Ligasure, Milligan Morgan Hemorrhoidectomy


Objective: To explore the efficacy of two surgical procedures by comparing the mean operative time, average blood loss and postoperative pain score during conventional and LigaSure. Study Design: Quasi-experimental study. Setting: Department of Surgery, Aziz Fatimah Hospital, to compare the efficacy of two surgical procedures regarding perioperative and postoperative variables. Period: One Year (1st July 2020 -30th June 2021). Material & Methods: Sixty patients with grade three and four haemorrhoids were randomized into two groups with 30 patients each. A questionnaire comprising all the variables was filled out and analyzed in SPSS 21. Results: Thirty patients were randomized into two groups, with group A comprising 21 (70%) females and, 9 (30%) males and 24 (80%) females, 6(20%) males in group B undergoing conventional hemorrhoidectomy. The study was single-blind, as the patients were unaware of the procedure they underwent. The mean age in group A was 39 years, and in group, B was 43 years. The mean operative time calculated was 38.4±2.77 and 51.7±2.60 in LigaSure and Milligan Morgan Hemorrhoidectomy, respectively, with a P-value calculated <0.00001. The average blood loss in LigaSure was 31.3 ± 5.76 and 49 ± 7.11 in Milligan morgan hemorrhoidectomy. Moreover, the pain assessment score on day one and all other variables were statistically significant, with a P-value of <0.00001. Conclusion: Ligasure hemorrhoidectomy is a safer surgical procedure associated with less operative time, blood loss and postoperative pain with shorter hospital stay and rapid wound healing.

Author Biographies

Sarwat Bibi, Aziz Fatimah Hospital, Faisalabad.

MBBS, FCPS, Associate Professor Surgery, 

Khurram Saqib, DHQ Hospital, Faisalabad.

MBBS, FCPS, Senior Registrar Surgery, 

Ifrah Irfan, DHQ Hospital, Faisalabad.

MBBS, Post graduate Trainee Surgery, 

Sumara Tabbasam, AFMDC & Aziz Fatimah Hospital, Faisalabad.

MBBS, FCPS (Anesthesia), Associate Professor Anestheisa & ICU 

Humaira Ahmad, Allied Hospital Faisalabad.

MBBS, FCPS (Anesthesiology), Associate Professor Anesthesia & Critical Care,