{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,31]],"date-time":"2026-03-31T08:22:45Z","timestamp":1774945365628,"version":"3.50.1"},"reference-count":0,"publisher":"Universiti Sains Malaysia","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["MJMS"],"published-print":{"date-parts":[[2021,10,26]]},"abstract":"<jats:p>Objective: This study was designed as a prospective and interventional study that evaluated LigaSure\u2122 haemorrhoidectomies with regional anaesthesia as a daycare procedure.   Methods: Patients with third- and fourth-degree haemorrhoids were recruited from the clinic from January 2018 to December 2019. The procedure was performed as a day case under regional anaesthesia. Using a LigaSureTM device, excisional haemorrhoidectomies (Milligan\u2013 Morgan haemorrhoidectomy) were performed without sutures or an anal sponge. We evaluated wound bleeding, pain and urinary retention per daycare protocols.   Results: A total of 264 patients were enrolled. There were 153 males (57.9%) with a median age of 30 years old (range 16 years old\u201380 years old). A total of 142 patients (54%) had thirddegree haemorrhoids, while the rest had fourth-degree haemorrhoids. The median operating time was 8 min (range 4 min\u201317 min) and minimal blood loss was observed. During follow-up, the complications were one case (0.3%) had anal stenosis, one case (0.3%) had minimal bleeding and one case (0.3%) had urine retention. Upon discharge, four patients (1.5%) required additional analgesia and another four (1.5%) developed post-spinal headaches. No incontinence was encountered.   Conclusion: LigaSure\u2122 excisional haemorrhoidectomy is a safe and effective daycare procedure with acceptable re-admission and complication rates.<\/jats:p>","DOI":"10.21315\/mjms2021.28.5.10","type":"journal-article","created":{"date-parts":[[2021,10,27]],"date-time":"2021-10-27T06:35:45Z","timestamp":1635316545000},"page":"102-107","source":"Crossref","is-referenced-by-count":5,"title":["A Prospective Interventional Study on LigaSureTM Haemorrhoidectomy as a Daycare Procedure"],"prefix":"10.21315","volume":"28","author":[{"name":"Department of Surgery, Kassala Police Hospital, Kassala, Sudan","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Abdel Latif K","family":"Elnaim","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shareef","family":"Musa","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"name":"Department of Surgery, Kassala Police Hospital, Kassala, Sudan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael Pak-Kai","family":"Wong","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"name":"Department of Surgery, School of Medical Sciences, Universiti Sains Malaysia, Kubang Kerian, Kelantan, Malaysia","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"name":"Department of Surgery, Hospital Universiti Sains Malaysia, Kubang Kerian, Kelantan, Malaysia","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ismail","family":"Sagap","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"name":"Department of Surgery, Universiti Kebangsaan Malaysia Medical Centre, Kuala Lumpur, Malaysia","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"8963","published-online":{"date-parts":[[2021,10,26]]},"container-title":["Malaysian Journal of Medical Sciences"],"original-title":[],"deposited":{"date-parts":[[2021,10,27]],"date-time":"2021-10-27T06:35:58Z","timestamp":1635316558000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.mjms.usm.my\/MJMS28052021\/MJMS28052021_10.pdf"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,10,26]]},"references-count":0,"journal-issue":{"issue":"5","published-online":{"date-parts":[[2021,10,26]]},"published-print":{"date-parts":[[2021,10,26]]}},"URL":"https:\/\/doi.org\/10.21315\/mjms2021.28.5.10","relation":{},"ISSN":["1394-195X","2180-4303"],"issn-type":[{"value":"1394-195X","type":"print"},{"value":"2180-4303","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,10,26]]}}}