Ligasure hemorrhoidectomy for thrombosed external hemorrhoids better than conservative treatment in pregnancy
Ligasure hemorrhoidectomy for thrombosed external hemorrhoids (TEH) in pregnancy is better than conservative treatment suggests a recent study published in the BMC Surgery
Ligasure hemorrhoidectomy for thrombosed external hemorrhoids in pregnancy has been rarely studied.
The purpose of this article is to study the efficacy and safety of Ligasure hemorrhoidectomy comparing with conservative treatment for thrombosed external hemorrhoids in pregnancy. This was a retrospective cohort study. The patients were treated at a tertiary referral center in China. 94 pregnant patients hospitalized for thrombosed external hemorrhoids from September 2020 to December 2021. Ligasure hemorrhoidectomy treatment or conservative treatment according to the patient’s wishes. Symptom relief, recurrence and satisfaction of thrombosed external hemorrhoids in pregnancy with different interventions were main outcomes.
Results
There were no differences between groups in maternal age, gestational age, body mass index, parity, constipation and a prior history of thrombosed external hemorrhoids.
The pain scores were less in surgical group than in conservative group in post-treatment days 1 and 7.
Time to return to normal activities was shorter in surgical group than in conservative group Post-treatment complications were mild in surgical group and there were no significant differences concerning the rate of abortion, preterm birth, cesarean delivery and weight of fetus.
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