{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T20:54:49Z","timestamp":1791579289496,"version":"4.3.4"},"reference-count":24,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2024,11,22]],"date-time":"2024-11-22T00:00:00Z","timestamp":1732233600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[2025,2]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Hemorrhoidectomy is considered as the most effective approach for patients with grade III and grade IV hemorrhoids; the operative procedure may be associated with significant postoperative pain and other complications. Several surgical techniques and devices have been developed to overcome these postoperative problems.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objective<\/jats:title><jats:p>To compare perioperative and postoperative outcomes of hemorrhoidectomy performed with the LigaSure and the conventional Milligan\u2013Morgan hemorrhoidectomy among Nigerian patients with symptomatic hemorrhoids.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methodology<\/jats:title><jats:p>All consenting adult patients who fulfilled the inclusion criteria were randomized to either conventional Milligan\u2013Morgan or LigaSure hemorrhoidectomy. Outcome measures were the duration of the procedure, estimated blood loss, and resolution of symptoms, which were assessed using the Sodergren hemorrhoids severity score (SHSS). Postoperative pain was evaluated using the visual analog scale (VAS), and the short\u2010term recurrence rate was also checked at 3\u00a0months.<\/jats:p><jats:p>Data were analyzed using the computer software IBM SPSS version 23.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Fifty\u2010two patients were randomized equally into the two arms. The median blood loss in the LigaSure group was 10.0\u00a0mL, whereas the median blood loss in the Milligan\u2013Morgan group was 26.5\u00a0mL, (<jats:italic>p<\/jats:italic>\u00a0=\u00a00.0001). The median postoperative pain at 2\u00a0weeks using the VAS was 5.5 in the LigaSure group, and in the Milligan\u2013Morgan group, it was 6.0 (<jats:italic>p<\/jats:italic>\u00a0=\u00a00.002). The mean duration of surgery in the LigaSure group was 18.04\u00a0min and 34.19\u00a0min in the Milligan\u2013Morgan group (<jats:italic>p<\/jats:italic>\u00a0=\u00a00.0001).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>LigaSure hemorrhoidectomy is faster and associated with less blood loss compared to conventional Milligan\u2013Morgan hemorrhoidectomy.<\/jats:p><\/jats:sec>","DOI":"10.1002\/wjs.12416","type":"journal-article","created":{"date-parts":[[2024,11,23]],"date-time":"2024-11-23T07:14:06Z","timestamp":1732346046000},"page":"334-342","source":"Crossref","is-referenced-by-count":6,"title":["LigaSure versus conventional Milligan MORGAN hemorrhoidectomy in Nigerian patients with symptomatic hemorrhoids"],"prefix":"10.1002","volume":"49","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6688-174X","authenticated-orcid":false,"given":"Babatunde","family":"Mustapha","sequence":"first","affiliation":[{"name":"Department of Surgery Afe Babalola Teaching 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Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ademola","family":"Adeyeye","sequence":"additional","affiliation":[{"name":"Department of Surgery Afe Babalola Teaching Hospital Complex  Ado\u2010Ekiti Ekiti State Nigeria"},{"name":"Department of Surgery Afe Babalola University  Ado\u2010Ekiti Ekiti State Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3875-381X","authenticated-orcid":false,"given":"Asafa Opeyemi","family":"Qozeem","sequence":"additional","affiliation":[{"name":"UniOsun Teaching Hospital  Osogbo Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maigana","family":"Mohammed","sequence":"additional","affiliation":[{"name":"Modibo Adama University Teaching Hospital  Yola Adamawa State 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