A Prospective Randomised Study of Comparing Diathermy and Ultrasonic Scalpel Haemorrhoidectomy
Journal Title: International Journal Of Research In Medicine - Year 2017, Vol 6, Issue 1
Abstract
BACKGROUND: Haemorrhoidectomy is the most effective approach for haemorrhoidal disease especially for grade III and grade IV disease. However, postoperative pain is a major concern, and the surgery itself is with complications including notably bleeding, wound sepsis, pain, and anal stenosis. MATERIALS AND METHODS: The study was carried out from 1st July 2014 to 30th Sep 2016 and 50 cases of 3rd and 4th degree haemorrhoids were selected with complaints of bleeding per rectum, pain during defecation and discharge. The patients were explained about their disease and modalities of treatment as ultrasonic scalpel or diathermy haemorrhoidectomy with advantages and disadvantages of each. Analysis was made on basis of percentages and mean. Randomly selected 25 patients were operated by ultrasonic scalpel & another 25 patients by diathermy haemorrhoidectomy under spinal anaesthesia. RESULTS: Ultrasonic scalpel haemorrhoidectomy take about 20 to 35 minutes while diathermy haemorrhoidectomy take about 30 to 45 minutes. The VAS pain scores on postoperative Day 1, 3, and 7 of the Ultrasonic Scalpel group were 5.8, 4.2 and 3.8 respectively and of the Diathermy haemorrhoidectomy group were 7.0, 6.2 and 4.2 respectively. Post-op bleeding in form of soakage of per-anal dressing was seen in only 4% cases in ultrasonic group while 12% cases in diathermy group. CONCLUSION: Ultrasonic scalpel haemorrhoidectomy is preferred for surgical treatment of grade III and grade IV haemorrhoids. It is safe and effective, and causes less intra-operative blood loss, less post-operative pain and less complications compared to diathermy haemorrhoidectomy.
Authors and Affiliations
Jatin G. Bhatt, Arvind Ranwa, Jignesh P. Dave, Iliyas Juneja, Hitesh Meghani, Vikrant Patel
Keywords
Related Articles
- EP ID EP437393
- DOI -
- Views 100
- Downloads 0
Study of Correlation of Clinical Profile, Electrocardiographic and Echocardiographic Profile in Patients of Chronic Obstructive Pulmonary Disease and Cor-Pulmonale
BACKGROUND: Chronic Obstructive Pulmonary Disease (COPD) is a major cause of chronic morbidity and mortality throughout the world. COPD is currently the 4th leading cause of death in the world. This study was undertaken...
Endoscopic Tympanoplasty Type I: Impoving Techniques
BACKGROUND AND OBJECTIVES: Transcanal endoscopic tympanoplasty type I [TET 1] is a very advantageous procedure and has got universal acceptance now emerging from the resistance that it faced about two decades ago. This m...
Efficacy of octreotide in postoperative alimentary tract fistulas
BACKGROUND: With the passage of time, there has been changing pattern of incidence and mortality of enterocutaneous fistulae. The earliest record of enterocutaneous fistulae appears in the “The old testament of judge...
A Study of Clinical Profile and Outcome of Inter-Costal Drainage Tube Insertion in Cases of Spontaneous Pneumothorax Admitted At Pulmonary Medicine Department at Tertiary Care Centre
BACKGROUND:Pneumothorax is defined as the presence of air between parietal and visceral pleural cavity. Pneumothorax can be divided into Spontaneous Pneumothorax and Traumatic Pneumothorax. Spontaneous pneumothoraces are...
A Prospective Randomised Study of Comparing Diathermy and Ultrasonic Scalpel Haemorrhoidectomy
BACKGROUND: Haemorrhoidectomy is the most effective approach for haemorrhoidal disease especially for grade III and grade IV disease. However, postoperative pain is a major concern, and the surgery itself is with complic...