LigaSure versus conventional excisional haemorrhoidectomy: A systematic review and meta-analysis with trial sequential analysis of randomised controlled trials.
Colorectal DisOct 1, 2026
Clinical ResearchGeneral Surgery
Gabriel Leal Barone, Bernardo Fontel Pompeu, Lucas Monteiro Delgado et al.
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In 30 seconds
This systematic review and meta-analysis evaluated 43 randomized controlled trials involving 3,277 participants to compare LigaSure with conventional excisional haemorrhoidectomy. LigaSure demonstrated lower postoperative pain scores on days 1 and 2, reduced analgesic requirements, and shorter recovery times. However, no significant differences were found in long-term outcomes such as recurrence.
Key findings
- LigaSure resulted in lower postoperative pain scores on days 1 and 2.
- Reduced analgesic requirements were noted with LigaSure compared to conventional techniques.
- LigaSure led to shorter operating times and quicker return to daily activities.
- No significant differences were found in long-term outcomes like recurrence or surgical site infection.
Why it matters
Understanding the comparative effectiveness of LigaSure versus conventional techniques can guide surgical decision-making, particularly in managing postoperative pain and recovery times for patients undergoing haemorrhoidectomy.