Harmonic Scalpel® treatment of haemorrhoidectomy versus Milligan–Morgan's method
Keywords:
harmonic US scalpel, conventional haemorrhoidectomy, electrocautery, tissue dissectionAbstract
Haemorrhoidal disease develops slowly. In comparison to electrocautery, surgical intervention with the Harmonic Scalpel® shear is a revolutionary approach for ablation of symptomatic fourth and third degree haemorrhoids. In contrast to electrocautery, Harmonic Scalpel® causes less discomfort because of its restricted lateral thermal injury during tissue dissection. The purpose of this study was to observe how effective Harmonic Scalpel® is at reducing postoperative problems after a haemorrhoidectomy. A harmonic US scalpel device was utilized to do the hemorrhoidectomy in group A, while a monopolar electrocautery device was employed in group B, which included 82 individuals. In this study, postoperative pain was more statistically significant in the Harmonic haemorridectomy group A than in group B haemorridectomy, in keeping with a pain numerical analogue scale of 1 to 10. The postoperative pain in group A was statistically significant on the 1st, 2nd, 4th, 7th, 14th, and 28th days of follow up, p<0.001. Time off work and patient satisfaction were statistically significant in the harmonic group, 2.50±0.066 compared to the surgery group, 3.56±0.070 (p<0.05). Healing of postoperative ulcers was statistically significant in the harmonic group (2.640.062 vs. 4.120.062 in surgery) (p<0.037).
Downloads
References
Abo-hashem, A. A., Sarhan, A. & Aly, A. M. (2010). Harmonic Scalpel® compared with bipolar electro-cautery hemorrhoidectomy: A randomized controlled trial. International Journal of Surgery, 8(3), 243–247. https://doi.org/10.1016/j.ijsu.2010.01.010
Armstrong, D. N., Ambroze, W. L., Schertzer, M. E. & Orangio, G. R. (2001). Harmonic Scalpel® vs. electrocautery hemorrhoidectomy: A prospective evaluation. Diseases of the Colon and Rectum, 44(4), 558–564. https://doi.org/10.1007/BF02234329
Bakhtiar, N., Moosa, F. A., Jaleel, F., Qureshi, N. A. & Jawaid, M. (2016). Comparison of Hemorrhoidectomy by ligasure with conventional milligan morgan’s Hemorrhoidectomy. Pakistan Journal of Medical Sciences, 32(3), 657–661. https://doi.org/10.12669/pjms.323.9976
Bilgin, Y., Hot, S., Barlas, ̄lhami Soykan, Akan, A. & Eryavuz, Y. (2015). Short- and long-term results of harmonic scalpel hemorrhoidectomy versus stapler hemorrhoidopexy in treatment of hemorrhoidal disease. Asian Journal of Surgery, 38(4), 214–219. https://doi.org/10.1016/j.asjsur.2014.09.004
Bulus, H., Tas, A., Coskun, A. & Kucukazman, M. (2014). Evaluation of two hemorrhoidectomy techniques: Harmonic scalpel and Ferguson’s with electrocautery. Asian Journal of Surgery, 37(1), 20–23. https://doi.org/10.1016/j.asjsur.2013.04.002
Dwijaya, A., & Atmaja, M. H. S. (2022). Clinical and imaging findings of klippel-trenaunay syndrome: A case report. International Journal of Health & Medical Sciences, 5(1), 145-149. https://doi.org/10.21744/ijhms.v5n1.1860
Ece, I., Yilmaz, H., Acar, F., Yormaz, S. & Sahin, M. (2014). Surgical Treatment of Hemorrhoids : Harmonic Scalpel Compared with Ferguson ’ s Hemorrhoidectomy. 2, 3247–3249.
Elhorbity, M. A., Mansour, M. I. & Mahmoud, N. A. (2020). Efficacy of Harmonic US and LigaSure in Surgical Treatment of 3rd and 4th Degree Internal Hemorrhoids versus Conventional Hemorrhoidectomy. Journal of Surgery, 16(1), 1–5. https://doi.org/10.37421/jos.2020.16.1
G. V., R. K., S., M. B., Tanga, V., Reddy M., N. K. & Pawar, P. M. (2017). Harmonic scalpel compared with conventional open (Milligan-Morgan) method in surgical management of symptomatic haemorrhoids. International Surgery Journal, 4(6), 2010. https://doi.org/10.18203/2349-2902.isj20172402
Gentile, M., De Rosa, M., Carbone, G., Pilone, V., Mosella, F. & Forestieri, P. (2011). LigaSure Haemorrhoidectomy versus Conventional Diathermy for IV-Degree Haemorrhoids: Is It the Treatment of Choice? A Randomized, Clinical Trial. ISRN Gastroenterology, 2011, 1–6. https://doi.org/10.5402/2011/467258
Khanna, R., Khanna, S., Bhadani, S., Singh, S. & Khanna, A. K. (2010). Comparison of Ligasure Hemorrhoidectomy with Conventional Ferguson’s Hemorrhoidectomy. Indian Journal of Surgery, 72(4), 294–297. https://doi.org/10.1007/s12262-010-0192-3
Lee, K. C., Liu, C. C., Hu, W. H., Lu, C. C., Lin, S. E. & Chen, H. H. (2019). Risk of delayed bleeding after hemorrhoidectomy. International Journal of Colorectal Disease, 34(2), 247–253. https://doi.org/10.1007/s00384-018-3176-6
Lohsiriwat, V. (2012). Hemorrhoids: From basic pathophysiology to clinical management. World Journal of Gastroenterology, 18(17), 2009–2017. https://doi.org/10.3748/wjg.v18.i17.2009
Margetis, N. (2019). Pathophysiology of internal hemorrhoids. Annals of Gastroenterology, 32(3), 264–272. https://doi.org/10.20524/aog.2019.0355
Mott, T., Latimer, K. & Edwards, C. (2018). Hemorrhoids: Diagnosis and Treatment Options. American Family Physician, 97(3), 172–179.
Perry, W. B., Dykes, S. L., Rafferty, W. D. & Rafferty, J. F. (2010). Practice parameters for the management of anal fissures (3rd Revision). Diseases of the Colon and Rectum, 53(8), 1110–1115. https://doi.org/10.1007/DCR.0b013e3181e23dfe
Pillant-Le Moult, H., Aubert, M. & De Parades, V. (2015). Classical treatment of hemorrhoids. Journal de Chirurgie Viscerale, 152(2), S3–S9. https://doi.org/10.1016/j.jviscsurg.2014.09.012
Rivadeneira, D. E., Steele, S. R., Ternent, C., Chalasani, S., Buie, W. D. & Rafferty, J. L. (2011). Practice parameters for the management of hemorrhoids (Revised 2010). Diseases of the Colon and Rectum, 54(9), 1059–1064. https://doi.org/10.1097/DCR.0b013e318225513d
Sayfan, J., Becker, A. & Koltun, L. (2001). Sutureless closed hemorrhoidectomy: A new technique. Annals of Surgery, 234(1), 21–24. https://doi.org/10.1097/00000658-200107000-00004
Setiyaningsih, R., Utami, E. D. & Santosa, A. (2020). Underwear innovation for hemorrhoids patient. Medisains, 17(3), 67. https://doi.org/10.30595/medisains.v17i3.6352
Shahmoradi, M. K., Mehri, J. & Taheri, H. R. (2020). Comparison of hemorrhoidectomy using harmonic scalpel and electrocautery: A randomized controlled trial. International Journal of Surgery Open, 27, 39–42. https://doi.org/10.1016/j.ijso.2020.10.006
Simillis, C., Thoukididou, S. N., Slesser, A. A. P., Rasheed, S., Tan, E. & Tekkis, P. P. (2015). Systematic review and network meta-analysis comparing clinical outcomes and effectiveness of surgical treatments for haemorrhoids. The British Journal of Surgery, 102(13), 1603–1618. https://doi.org/10.1002/bjs.9913
Talha, A., Bessa, S. & Abdel Wahab, M. (2017). Ligasure, Harmonic Scalpel versus conventional diathermy in excisional haemorrhoidectomy: a randomized controlled trial. ANZ Journal of Surgery, 87(4), 252–256. https://doi.org/10.1111/ans.12838
Tan, E. K., Cornish, J., Darzi, A. W., Papagrigoriadis, S. & Tekkis, P. P. (2007). Meta-analysis of short-term outcomes of randomized controlled trials of LigaSure vs conventional hemorrhoidectomy. Archives of Surgery, 142(12), 1209–1218. https://doi.org/10.1001/archsurg.142.12.1209
Thiyagarajan, A. & Bhatnagar, S. (2017). Comparative study of management of grade III hemorrhoids by Harmonic Scalpel technique versus conventional surgical technique (Milligan Morgan method). International Surgery Journal, 4(9), 3007. https://doi.org/10.18203/2349-2902.isj20173877
Tournu, G., Abramowitz, L., Couffignal, C., Juguet, F., Sénéjoux, A., Berger, S., Wiart, A. L., Bernard, M., Provost, F., Pillant-Le Moult, H., Bouchard, D. & Aubert, J. P. (2017). Prevalence of anal symptoms in general practice: A prospective study. BMC Family Practice, 18(1), 1–7. https://doi.org/10.1186/s12875-017-0649-6
Widana, I.K., Sumetri, N.W., Sutapa, I.K., Suryasa, W. (2021). Anthropometric measures for better cardiovascular and musculoskeletal health. Computer Applications in Engineering Education, 29(3), 550–561. https://doi.org/10.1002/cae.22202
Published
How to Cite
Issue
Section
Copyright (c) 2022 International journal of health sciences
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Articles published in the International Journal of Health Sciences (IJHS) are available under Creative Commons Attribution Non-Commercial No Derivatives Licence (CC BY-NC-ND 4.0). Authors retain copyright in their work and grant IJHS right of first publication under CC BY-NC-ND 4.0. Users have the right to read, download, copy, distribute, print, search, or link to the full texts of articles in this journal, and to use them for any other lawful purpose.
Articles published in IJHS can be copied, communicated and shared in their published form for non-commercial purposes provided full attribution is given to the author and the journal. Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgment of its initial publication in this journal.
This copyright notice applies to articles published in IJHS volumes 4 onwards. Please read about the copyright notices for previous volumes under Journal History.
