Acta Scientific Gastrointestinal Disorders (ASGIS)(ISSN: 2582-1091)

Research Article Volume 3 Issue 1

Comparative Study between Harmonic Scalpel and Diathermy in the Surgical Treatment of Grade III and IV Hemorrhoids

Shady Mohamed Naguib Ghieth*, Hassan Ali Elbahrawi, Mohamed Ibrahim Kassem and Ahmed Abdelfattah Sabry

Department of Surgery, Faculty of Medicine, Alexandria University, Egypt

*Corresponding Author: Shady Mohamed Naguib Ghieth, Department of Surgery, Faculty of Medicine, Alexandria University, Egypt.

Received: October 18, 2019; Published: December 02, 2019

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Abstract

Introduction: Surgical excision using Harmonic Scalpel is a modern technique used for ablation of symptomatic third degree and all fourth-degree hemorrhoids. Compared with diathermy, Harmonic Scalpel causes minimal lateral thermal injury during tissue dissec-tion. The resulting mucosal defect then left open. The aim of this work is to compare between Harmonic Scalpel hemorrhoidectomy and diathermy hemorrhoidectomy in the surgical treatment of grade III and IV haemorrhoids..

Patients and Methods: This is a prospective randomized study done at Alexandria University hospital during the period from No-vember 2014 to April 2015. Forty patients underwent surgical excision of complex grade III or grade IV hemorrhoids. They were di-vided into two groups: (1) Harmonic Scalpel Hemorrhoidectomy group (n=20) and (2) Diathermy Hemorrhoidectomy group (n=20). Operative time and bleeding, postoperative pain and analgesic requirements, early and late postoperative complications, hospital stay, and time to return to normal activity all were recorded and statistically analysed.

Results: Postoperative pain in Group (1) was significantly less with less analgesic requirement in the first 24 hours postoperatively. There was no significant difference between both groups regarding other postoperative complications.

Conclusion: This study demonstrates significantly reduced postoperative pain after Harmonic Scalpel Hemorrhoidectomy com-pared with Diathermy Hemorrhoidectomy. Most likely, this result came from the avoidance of excessive lateral thermal injury caused by monopolar electrocautery.

Keywords: Hemorrhoidectomy; Haemorrhoids.

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Citation

Citation: Shady Mohamed Naguib Ghieth. Comparative Study between Harmonic Scalpel and Diathermy in the Surgical Treatment of Grade III and IV Hemorrhoids.Acta Scientific Gastrointestinal Disorders 3.1 (2020): 02-08.



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