Comparative Study of Open Haemorrhoidectomy using Ultrasonic Energy Device (Harmonic Scalpel) Versus Electrodiathermy
Year: 2024
Type: article
Abstract: Aim: This study aimed to compare preoperative and postoperative courses of open haemorrhoidectomy using ultrasonic energy device (harmonic scalpel) versus electrodiathermy. Materials and Methods: 50 patients undergoing haemorrhoidectomy were equally divided into two groups: 25 patients in group A (conventional method) treated with monopolar electrocautery and 25 patients in group B treated with ultrasonic scalpel. The resting pain and the post defecation pain was recorded using the visual analogue scale (VAS), as well as the amount of bleeding and urinary retention. Result: Intraoperative bleeding was less in the ultrasonic scalpel group in comparison to the conventional hemorrhoidectomy and this was statistically significant (p<0.05). There was a high statistical difference between both groups according to wound healing duration (p<0.05). There was statistically significant reduction (p=0.006) in wound infection and discharge in the ultrasonic scalpel group compared to the conventional hemorrhoidectomy group. Postoperative pain in day 1 and day 2 was significantly less in the ultrasonic scalpel group compared to the conventional hemorrhoidectomy group but no difference was noticed after 1 week. Conclusion: This study concluded that ultrasonic scalpel technique is better in treating haemorrhoidectomy than the conventional hemorrhoidectomy using electrodiathermy in terms of postoperative pain, intraoperative bleeding, wound healing, wound infection and discharge.
Authors: Arunkumar Chawan, Abhishek Prasad, Pogaku Sai Sharan, Roshani Damor, Rishav Kumar, Srinivas Thimmasarthi
Institution: B.J. Medical College
Language: English
Subfield: Surgery
Field: Medicine
Domain: Health Sciences
Open Access status: green
OpenAlex ID: W6930585397
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