World Journal of Laparoscopic Surgery

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VOLUME 11 , ISSUE 3 ( September-December, 2018 ) > List of Articles


Hemorrhoidectomy with Harmonic Scalpel vs Conventional Hemorrhoidectomy

Hana Alhomoud, Mohamed Mohsen, Salah Termos

Keywords : Harmonic scalpel, Hemorrhoids, Milligan–Morgan procedure

Citation Information : Alhomoud H, Mohsen M, Termos S. Hemorrhoidectomy with Harmonic Scalpel vs Conventional Hemorrhoidectomy. World J Lap Surg 2018; 11 (3):121-123.

DOI: 10.5005/jp-journals-10033-1352

License: CC BY-NC 4.0

Published Online: 01-08-2019

Copyright Statement:  Copyright © 2018; The Author(s).


Background: Hemorrhoidal disease is one of the most frequently encountered anorectal conditions in the clinical practice. A variety of instruments including circular staplers, harmonic scalpel, laser, and bipolar electrothermal devices are currently used when performing hemorrhoidectomy grades III and IV. Objective: This study compares outcomes between hemorrhoidectomy performed with harmonic scalpel and conventional methods. Materials and methods: A prospective randomized study of consecutive 50 patients who underwent hemorrhoidectomy between January 2017 and October 2017. Patients were randomly enrolled in two different groups. Group I consisted of 25 patients who underwent hemorrhoidectomy using an ultrasonic scalpel device (harmonic) and group II with 25 patients who had conventional hemorrhoidectomy. Results: The patients’ demographics data and clinical characteristics were similar in both groups. The harmonic group had a shorter operation time, less postoperative pain, less postoperative bleeding, and shorter hospital stay. Conclusion: Harmonic scalpel hemorrhoidectomy appears to be a better procedure for symptomatic grades III and IV hemorrhoids with ease of operating due to less bleeding, less postoperative pain, and patient acceptance. Long-term follow-up with larger scale studies is required.

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