A literature review of studies on the problem of providing surgical care to patients with hemorrhoids is presented . The article discusses modern approaches to the use of high-energy devices for dissection of hemorrhoids characterizes these techniques , and indicates their advantages and disadvantages . Based on the analysis of immediate and long-term results of treatment , a comparative assessment of the effectiveness and safety of hemorrhoidectomy performed using various electrosurgical instruments , plasma , laser and ultrasonic scalpels was made . It has been demonstrated that their use provides rapid hemostasis and precise tissue dissection , which leads to a decrease in the intensity of pain syndrome and the incidence of complications in the postoperative period , and also reduces the time of rehabilitation of patients . Despite the obvious positive potential of the devices presented above , their use is fraught with certain risks associated with overestimation of the hemostatic effect and , on the contrary , underestimation of the damaging effect on tissues adjacent to the dissection zone . Thus , the current level of development of biomedical technologies opens up great opportunities for improving the results of surgical treatment of patients with hemorrhoids . However , the key to their implementation is the observance of a reasonable approach to the use of certain high-energy devices , which should be based on a critical analysis of their advantages and disadvantages .