Abstract
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 30 patients who underwent hemorrhoidectomy between January 2020 and October 2021. Patients were randomly enrolled in two different groups. Group I consisted of 15 patients who underwent hemorrhoidectomy using an ultrasonic scalpel device (harmonic) and group II with 15 patients who had conventional hemorrhoidectomy. Results: The patients' demographics data and clinical characteristics were similar in both groups. The harmonic group had a marked reduction in operative time, nal healing time, time to return to normal physical activity, intra operative blood loss and post-operative pain. Conclusion: Harmonic scalpel hemorrhoidectomy appears to be a better procedure for symptomatic grades III and IV hemorrhoids with ease of operating due to marked reduction in operative time, nal healing time, time to return to normal physical activity, intra operative blood loss, postoperative pain and patient acceptance. Long-term follow-up with larger scale studies is required.
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