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Comparison of Ultrasonic (Harmonic Scalpel) Hemorrhoidectomy versus Milligan-Morgan Hemorrhoidectomy for Hemorrhoidal Disease

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Last updated: 03 Jan 2025

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Abstract

Background: Surgical excision using the Harmonic Scalpel is a modern technique for symptomatic third- and fourth-degree hemorrhoids. The resulting mucosal defect is then left open.
Objectives: The purpose of this study was to compare techniques of hemorrhoid excision using the Harmonic Scalpel versus the routine Milligan-Morgan technique.
Methods: From August 2017 to May 2018, 30 patients underwent surgical excision of complex grade III or grade IV hemorrhoids via the Harmonic Scalpel another 30 patients operated with the traditional Miligian Morgan technique. Data collected about patient clinical condition and perioperative details including operative time and blood loss then post-operative acute pain and delayed pain and other complications then the quality of life after returning to routine life including degree of satisfaction of the patients were recorded in a master sheet and short form survey for documentation and statistical analysis.
Results: Both groups were comparable in terms of patient demographics and type of anesthesia. There were no late complications. Mean follow-up was 4.9 (range, 4ā€“6) months. Conclusion: hemorrhoidectomy with Harmonic Scalpel significantly reduces perioperative time, blood loss and thus postoperative pain, without diminishing quality of life.

Keywords

Harmonic Scalpel- Miligian Morgan- hemorrhoidectomy

Authors

First Name

Mohamed Ahmed Shawky Abdelaziz Deyab* , Mohamed Tag Eldin,

Last Name

Alsayed Hamdy.

MiddleName

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Affiliation

AL-Azhar University, Faculty of medicine, General Surgery Department, Cairo, Egypt

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Orcid

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Volume

71

Article Issue

7

Related Issue

1636

Issue Date

2018-04-01

Receive Date

2018-03-20

Publish Date

2018-04-01

Page Start

3,533

Page End

3,536

Print ISSN

1687-2002

Online ISSN

2090-7125

Article File

EJHM_Volume 71_Issue 7_Pages 3533-3536.pdf

PDF . 199.9kB

Link

https://ejhm.journals.ekb.eg/article_8328.html

Detail API

https://ejhm.journals.ekb.eg/service?article_code=8328

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Original Article

Type Code

606

Publication Type

Journal

Publication Title

The Egyptian Journal of Hospital Medicine

Publication Link

https://ejhm.journals.ekb.eg/

MainTitle

Comparison of Ultrasonic (Harmonic Scalpel) Hemorrhoidectomy versus Milligan-Morgan Hemorrhoidectomy for Hemorrhoidal Disease

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Article

Created At

22 Jan 2023