Ana Jalil, Israr Ahmad, Muhammad Naeem Taj, Hira Jalil, Tariq Abdullah.
Comparison of Effectiveness of Harmonic Scalpel Hemorrhoidectomy with Conventional Open Hemorrhoidectomy in the Treatment of Hemorrhoids.
Ann Pak Inst Med Sci Jan ;19(3):356-7.

Background: Various surgical treatments are available to treat hemorrhoids, however, surgical hemorrhoidectomy has high cure rate and low recurrence rate in patients. Therefore, current study has been planned to compare the effectiveness of harmonic scalpel hemorrhoidectomy with conventional open hemorrhoidectomy in treatment of hemorrhoids. Methods: Sixty patients with third and fourth grade hemorrhoids were selected and randomized into Group A (harmonic scalpel) and Group B (conventional open hemorrhoidectomy) with 30 patients in each group. In Group A, the harmonic scalpel device was used to cut and coagulate the hemorrhoids. In Group B, simple scissor was used to excise hemorrhoidal tissues and vicryl 2-0 was used to ligate bleeding vessel. Independent sample t-test was used to compare operating time and post-operative pain for both groups. Results: Mean age of the patients was 52 years. The proportion of male and female was 63% and 37%, while proportion of 3rd and 4th degree patients was 77% and 23%. The duration of surgery for Group A (17.67 minutes) was significantly shorter as compared with Group B (24.33 minutes). Post-operative pain score for Group A was significantly lowered compared with Group B after 8 and 16 hours of surgery. Conclusion: The harmonic scalpel hemorrhoidectomy is a new surgical procedure with shorter operative time and has less post-operative pain. Thus harmonic scalpel hemorrhoidectomy is more effective method in the treatment of hemorrhoids as compared to open hemorrhoidectomy. Keywords: Harmonic scalpel hemorrhoidectomy. open hemorrhoidectomy. post-operative pain.

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