• Users Online: 54
  • Home
  • Print this page
  • Email this page
Home About us Editorial board Ahead of print Current issue Search Archives Submit article Instructions Subscribe Contacts Login 
Year : 2019  |  Volume : 17  |  Issue : 1  |  Page : 24-29

Harmonic scalpel versus conventional hemorrhoidectomy

Department of General Surgery, Faculty of Medicine, Al-Azhar University, New Damietta, Egypt

Correspondence Address:
Hazem A Megahed
Hassan Said Street from Ahmed Maher Street, Elmansoura, 35511
Login to access the Email id

Source of Support: None, Conflict of Interest: None

DOI: 10.4103/AZMJ.AZMJ_104_18

Rights and Permissions

Introduction In this study, harmonic scalpel hemorrhoidectomy was compared with the classical Milligan–Morgan hemorrhoidectomy regarding the outcome and the postoperative complication rates. Patients and methods Between June 2014 and September 2018, 40 patients aged between 30 and 60 years old underwent a hemorrhoidectomy operation in Al-Azhar University Hospital, New Damietta. The patients were randomly subdivided into two groups: group A included 20 patients who underwent the classical Milligan–Morgan hemorrhoidectomy operation, which represented the conventional method, and group B included 20 patients who underwent a hemorrhoidectomy with the use of a harmonic scalpel. The outcome and postoperative complications were compared between the two groups. Results In the harmonic scalpel group (group B), the posthemorroidectomy static pain was significantly lesser on the postoperative days 3, 7, and 14, but it was nonsignificantly lesser on the first postoperative day. Moreover, there was significant decrease in mean hospital stay in group B (1.0±0.2 days) vs. in group A (conventional method group) (1.3±0.4 days). The operative time was significantly decreased in group B (15±1.1 min) versus group A (20±2.1 min). Regarding early complications such as minor bleeding and urinary retention, they were lesser in group B, but without significance. Conclusion Harmonic scalpel hemorrhoidectomy is a less time-consuming bloodless procedure and has lesser postoperative pain and bleeding when compared with conventional hemorrhoidectomy.

Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)

 Article Access Statistics
    PDF Downloaded155    
    Comments [Add]    
    Cited by others 1    

Recommend this journal