Haemorrhoidectomy; Outcome Using Harmonic Scalpel Versus Conventional Closed Haemorrhoidectomy

Abstract

ABSTRACT… Haemorrhoids are one of the most common anorectal disorders. Internal haemorrhoids are symptomatic anal cushions and characteristically lie in the 3, 7 and 11 o'clock position whereas external haemorrhoids relate to venous channels of the inferior haemorrhoidal plexus. Objectives: To compare the outcome of haemorrhoidectomy using harmonic scalpel versus conventional closed haemorrhoidectomy. Study Design: Randomized control trial. In Group A, (70 patients) conventional haemorrhoidectomy was performed by the Ferguson Technique (closed technique) whereas in Group B, (70 patients) suture less closed haemorrhoidectomy was performed by using the harmonic scalpel. Results: The mean age of the patients in group A was 43.3±8.2 years and in group B was 42.3±7.3 years. The mean time for surgery in group A was 23.8±4.2 minutes and in group B was 8.5±3.6 minutes. The mean pain score in group A was 5.3±1.8 VAS and in group B was 3.9±1.9 VAS. In group A, less than 1 day postoperative hospital stay was in 62 (88.6%) patients and in group B, it was in 66 (94.3%) patients. Conclusions: It is concluded from this study that haemorrhoidectomy by harmonic scalpel results in decrease in operation time and less postoperative pain although there is not much significant difference in less than 1 day hospital stay as compared to the conventional closed haemorrhidectomy technique. Key words:Haemorrhoidectomy, operating time, pain score, hospital stay, harmonic scalpel haemorrhoidectomy. Article Citation: Nasim A, Baig M, Saad R. Haemorrhoidectomy; outcome using harmonic scalpel versus conventional closed haemorrhoidectomy. Professional Med J 2017;24(1):69-74.