Our Summary

This research paper investigates the use of two different tools for hemorrhoid surgery: LigaSure and Caiman. LigaSure is a well-known device that uses radiofrequency to perform the surgery, which has been shown to reduce complications after the operation. However, LigaSure is expensive. The study looks at the performance of Caiman, a less costly alternative that also uses radiofrequency.

Between January 2015 and December 2017, 35 patients had surgery using Caiman. These patients were compared to 35 patients who had previously undergone surgery with LigaSure. The researchers looked at several factors during the operation (like how long the surgery took and if stitches were needed), after the operation (like pain, bleeding, and when the patient could return to work), and follow-ups over the long term.

The results showed that there was not a significant difference between the two groups in terms of the factors considered. This suggests that Caiman could be a safe and more affordable option for hemorrhoid surgery compared to LigaSure.

FAQs

  1. What are the LigaSure and Caiman devices used for in hemorrhoid surgeries?
  2. What factors were considered in the comparison between hemorrhoid surgeries using LigaSure and Caiman?
  3. Did the study find a significant difference in the performance of LigaSure and Caiman in hemorrhoid surgeries?

Doctor’s Tip

A doctor may advise a patient undergoing a hemorrhoidectomy to carefully follow post-operative instructions, including taking prescribed pain medication, keeping the area clean and dry, and avoiding strenuous activities that may strain the surgical site. They may also recommend eating a high-fiber diet, staying hydrated, and taking stool softeners to prevent constipation, which can worsen hemorrhoid symptoms. Additionally, the doctor may suggest using sitz baths or over-the-counter creams to help with discomfort and promote healing.

Suitable For

Patients who are typically recommended for hemorrhoidectomy are those who have severe or chronic symptoms of hemorrhoids that do not respond to conservative treatments such as dietary changes, topical medications, and lifestyle modifications. These symptoms may include severe pain, bleeding, itching, swelling, and difficulty with hygiene. Patients with large, prolapsed, or thrombosed hemorrhoids may also be recommended for surgery.

Additionally, patients with recurrent hemorrhoids that do not improve with non-surgical treatments may also be candidates for hemorrhoidectomy. It is important for patients to discuss their symptoms and medical history with their healthcare provider to determine if surgery is the best treatment option for their specific case.

Timeline

Before hemorrhoidectomy:

  • Patient experiences symptoms of hemorrhoids such as pain, itching, and bleeding
  • Patient consults with a healthcare provider who recommends surgery as a treatment option
  • Patient undergoes pre-operative assessments and tests to determine if they are a suitable candidate for surgery

After hemorrhoidectomy:

  • Patient undergoes surgery using either LigaSure or Caiman
  • Recovery period begins with pain management and wound care
  • Patient may experience discomfort, bleeding, and difficulty with bowel movements in the days following surgery
  • Follow-up appointments are scheduled to monitor healing and address any complications
  • Long-term follow-up to assess the effectiveness of the surgery and recurrence of hemorrhoids

What to Ask Your Doctor

Some questions a patient should ask their doctor about hemorrhoidectomy include:

  1. What are the potential risks and complications associated with hemorrhoid surgery?
  2. What is the recovery process like after a hemorrhoidectomy?
  3. How long will it take for me to return to normal activities after the surgery?
  4. Will I need to take any medications or follow a special diet after the procedure?
  5. Are there any alternative treatment options to consider before undergoing surgery?
  6. How experienced are you in performing hemorrhoidectomies, and what is your success rate?
  7. Which surgical technique do you recommend for my specific case, and why?
  8. How long will the surgery take, and will I need to stay in the hospital overnight?
  9. What can I expect in terms of pain and discomfort after the surgery, and how will it be managed?
  10. Are there any long-term implications or changes I should be aware of following the procedure?

Reference

Authors: Eberspacher C, Mascagni P, Di Nardo D, Pironi D, Pontone S, Martellucci J, Naldini G, Mascagni D. Journal: Surg Innov. 2020 Jun;27(3):272-278. doi: 10.1177/1553350620908388. Epub 2020 Mar 5. PMID: 32133936