Tips and tricks: haemorrhoidectomy with LigaSure.

ABSTRACT

Haemorrhoidectomy is frequently associated with significant postoperative pain and prolonged hospital stay. New techniques to reduce these problems are constantly under evaluation. Amongst these, LigaSure haemorrhoidectomy is a safe and fast technique that fulfils the requirements of low-complication rate, fast wound healing and quick return to work, reduction in postoperative pain and hospitalisation. The authors detail all the steps of the surgical procedure operative position; haemorrhoids exposure; dissection, vascular pedicle legation and haemorrhoidal removal, final control. Besides this, the attention is focused on the technical features of LigaSure technology, given that understanding of technical background is a prerequisite for adequate handling of the LigaSure device.