Muhammad Fawad, Shaukat Hussain, Uzair Ahmad.
Comparison between Harmonic Scalpel vs Bipolar Diathermy for Hemorrhoidectomy.
Ophthalmol Update Jan ;16(3):773-6.

Background: Haemorrhoids are dilatation of internal venous plexus with an enlarged, displaced anal cushion. It is believed to be one of the most widely spread human suffering ranking first among diseases of the rectum and large intestine. Objective: To compare the mean operative time between harmonic scalpel and bipolar diathermy during surgery for 2nd & 3rd degree hemorrhoids. Material and Methods This Randomized Controlled Trial was conducted at Department of Surgery, Hayatabad Medical Complex Hospital Peshawar from 3/03/2016 to 3/03/2017. In this study a total of 82 patients (41 in each group) were observe. Patients in group A were subjected to harmonic scalpel and patients in group B were subjected to bipolar diathermy during hemorrhoid surgery. All the patients were subjected to their treatments according to their respective groups by single experienced general surgeon having minimum of five years of experience. Operative time was measured by the researcher himself during surgery starting from induction of anesthesia till the securing of hemostasis. Results: Our study shows that Harmonic scalpel Haemorrhoidectomy mean age was 40 years with SD +/- 10.27 while in Bipolar diathermy mean age was 41 years with SD +/- 11.92. In Harmonic scalpel Haemorrhoidectomy 43% patients were male and 57% patients were female. Where as in Bipolar diathermy 40% patients were male and 60% patients were female. In Harmonic scalpel Haemorrhoidectomy mean operative time was 17 minutes with SD +/-3.82. Where as in Bipolar diathermy mean operative time was 25 minutes with SD +/-7.25. Conclusion: Our study concludes that mean operative time in harmonic scalpel is less than bipolar diathermy in the treatment of 2nd or 3rd degree hemorrhoids.

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