Comparative Study of Outcome of Conventional versus Ultrasonic Coagulation Hemorrhoidectomy

Mohamed Yehia Elbarmelgi and Ahmed Farag Ahmed Farag

Department of General Surgery, Cairo University, Egypt
These two authors equally contributed

^*Correspondance to: Mohamed Yehia Elbarmelgi 

 PDF  Full Text DOI: 10.25107/2474-1647.1242

Abstract

Purpose: The aim of this study was to compare the outcome of patients receiving hemorrhoidectomy using ultrasonic coagulation versus conventional hemorrhoidectomy.Methods: Twenty patients with grade 3 to 4 piles were randomly assigned using closed envelope method to receive 1) Modified Milligan-Morgan hemorrhoidectomy using scissors excision-ligation technique followed by hemostasis using diathermy or 2) Ultrasonic coagulation hemorrhoidectomy. The patient was not aware of the technique used at operation. Patients were followed up weeks after operation. The measured outcomes included 1) operation time; 2) blood loss; 3) postoperative hospital stay; 4) pain score; 5) wound healing duration 6) wound infection.Results: There was high statistical difference between ultrasonic coagulation over conventional hemorrhoidectomy regarding intraoperative blood loss, operative time, wound healing and duration, post operative pain in day 1 & 2, no difference was shown in post operative pain after 1 week.
Conclusion: The study shows that the ultrasonic coagulation is superior to the conventional hemorrhoidectomy regarding intraoperative blood loss, operative time, and wound healing and early post operative pain.

Keywords

Harmonic scalpel; Ultrasonic coagulation; Hemorrhoidectomy; Milligan & Morgan

Cite the article

Elbarmelgi MY, Farag AFA. Comparative Study of Outcome of Conventional versus Ultrasonic Coagulation Hemorrhoidectomy. Clin Surg. 2016; 1: 1242.