Harmonic Scalpel® treatment of haemorrhoidectomy versus Milligan–Morgan's method

Abstract

Haemorrhoidal disease develops slowly. In comparison to electrocautery, surgical intervention with the Harmonic Scalpel® shear is a revolutionary approach for ablation of symptomatic fourth and third degree haemorrhoids. In contrast to electrocautery, Harmonic Scalpel® causes less discomfort because of its restricted lateral thermal injury during tissue dissection. The purpose of this study was to observe how effective Harmonic Scalpel® is at reducing postoperative problems after a haemorrhoidectomy. A harmonic US scalpel device was utilized to do the hemorrhoidectomy in group A, while a monopolar electrocautery device was employed in group B, which included 82 individuals. In this study, postoperative pain was more statistically significant in the Harmonic haemorridectomy group A than in group B haemorridectomy, in keeping with a pain numerical analogue scale of 1 to 10. The postoperative pain in group A was statistically significant on the 1st, 2nd, 4th, 7th, 14th, and 28th days of follow up, p<0.001. Time off work and patient satisfaction were statistically significant in the harmonic group, 2.50±0.066 compared to the surgery group, 3.56±0.070 (p<0.05). Healing of postoperative ulcers was statistically significant in the harmonic group (2.640.062 vs. 4.120.062 in surgery) (p<0.037).