HAEMORRHOIDECTOMY : ULTRASONIC SCALPEL VERSUS DIATHERMY CAUTERY

Abstract

INTRODUCTION Haemorrhoids are the most common anorectal disease seen in age group between 45-50 years. Milligan Morgan haemorrhoidectomy is the gold standard operative procedure for grade 3 and grade 4 haemorrhoids.In the last decade high frequency sound wave energy ultrasonic scalpel is used to cut and coagulate tissues in Milligan-Morgan haemorrhoidectomy. OBJECTIVE Our aim is to do a comparative study between the outcomes of a Milligan Morgan haemorrhoidectomy by using ultrasonic scalpel versus diathermy cautery. MATERIALS AND METHODS This is a prospective comparative randomized study done over a period of 6months (April 2022-September 2022) at GGH Vijayawada. 60 patients of age group 45-65 years. They were randomly divided into 2 groups of 30 each. Group A – Underwent haemorrhoidectomy with diathermy cautery Group B- Underwent haemorrhoidectomy with harmonic scalpel. RESULTS Patients who underwent harmonic scalpel haemorrhoidectomy have statistically signicant P value in post operative pain , post op urinary retention and anal stenosis. CONCLUSION Harmonic scalpel is better than diathermy in having relatively less post operative pain and early resumption of daily activities and less occurrence of urinary retention and anal stenosis