Comparison of Ultrasonic (Harmonic Scalpel) Hemorrhoidectomy versus Milligan-Morgan Hemorrhoidectomy for Hemorrhoidal Disease
Journal Title: The Egyptian Journal of Hospital Medicine - Year 2018, Vol 71, Issue 7
Abstract
<span>Background: </span><span>Surgical excision using the Harmonic Scalpel is a modern technique for symptomatic third- and fourth-degree hemorrhoids. The resulting mucosal defect is then left open.<br /> Objectives: The purpose of this study was to compare techniques of hemorrhoid excision using the Harmonic Scalpel versus the routine Milligan-Morgan technique.<br /> </span><span>Methods: </span><span>From August 2017 to May 2018, 30 patients underwent surgical excision of complex grade III or grade IV hemorrhoids via the Harmonic Scalpel another 30 patients operated with the traditional Miligian Morgan technique. Data collected about patient clinical condition and perioperative details including operative time and blood loss then post-operative acute pain and delayed pain and other complications then the quality of life after returning to routine life including degree of satisfaction of the patients were recorded in a master sheet and short form survey for documentation and statistical analysis.<br /> </span><span>Results: </span><span>Both groups were comparable in terms of patient demographics and type of anesthesia. There were no late complications. Mean follow-up was 4.9 (range, 4</span><span>–</span><span>6) months. Conclusion: hemorrhoidectomy with Harmonic Scalpel significantly reduces perioperative time, blood loss and thus postoperative pain, without diminishing quality of life.<br /> </span>
Authors and Affiliations
Eman Helal
Keywords
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