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    • Outcome of Harmonic Scalpel Hemorrhoidectomy in Comparison with Bipolar Diathermy

    Anas Mashal MD; Abdallah Magdy MD,FRCS
    Departement of General Surgery, Faculty of Medicine, Ain Shams University

    Introduction:Hemorrhoidectomy using Harmonic Scalpel is another technique used for ablation of symptomatic third and fourth degree hemorrhoids. In comparison with bipolar diathermy, Harmonic Scalpel causes minimal thermal injury during hemorrhoidectomy with a minimal tissue defect after the procedure. The aim of this work is to evaluate the outcome of using Harmonic Scalpel in minimizing the incidence of postoperative complications following Hemorrhoidectomy. Patients & Methods: This study is a blind randomized controlled trial done at dar alshifa hospital and prince medical center, United Arab Emirates during the period from July 2014 to July 2016. 90 Patients underwent hemorrhoidectomy for grade III and IV hemorrhoids. They were divided into two groups: (A) Harmonic Scalpel Hemorrhoidectomy group and (B) Bipolar Electro-Cautery Hemorrhoidectomy group. Post-operative Pain and other postoperative complications were analyzed, informed written consent were signed by all cases involved in this study, together with approval of ethical comity. Results: Postoperative pain in Group (A) was markedly less than group (B) with less analgesia required and early recovery with rapid return to normal activity. There was no difference between both groups regarding other postoperative complications. Conclusion: Harmonic scalpel hemorrhoidectomy is a safe and effective procedure with minimal postoperative pain and rapid recovery with early return to normal activity in comparison with bipolar hemorrhoidectomy. This result occurred mostly due to minimal thermal tissue injury in comparison with bipolar hemorrhoidectomy. Key words: Harmonic scalpel, bipolar, hemorrhoidectomy.

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