Abstract

Background: The most common anorectal disease is Haemorrhoids. Ultrasonic
coagulation is an evolving technique which uses the ultrasonic coagulation device to
perform the classic Milligan and Morgan hemorrhoidectomy, which is arguably the
most used surgical option in treatment of grade III and IV haemorrhoids. Objective- To
compare the efficacy of harmonic scalpel hemorrhoidectomy and conventional
hemorrhoidectomy
Materials and Methods: A prospective randomized study conducted in the year 2020-
2021 on patients admitted in the department of surgery, Rajindra Hospital, Patiala
which included 60 patients, which were divided randomly into two groups of 30 each,
group A(undergone hemorrhoidectomy performed with classical Milligan-Morgan
hemorrhoidectomy)and group B(undergone Harmonic scalpel hemorrhoidectomy).
Results: The patients who underwent harmonic scalpel hemorrhoidectomy had
statistically highly significant p value in post-operative pain, post-operative defecation
and postoperative urine retention.
Conclusion: Harmonic scalpel hemorrhoidectomy is preferred because of less
postoperative pain at rest as well as on defecation and lesser postoperative urine
retention.