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Original Research Article Background: Hemorrhoid disease is the symptomatic enlargement and protrusion of normal anal cushions. Haemorrhoidectomy performed with harmonic scalpel is proposed as a faster and less painful alternative to conventional techniques. The aim of this study was to compare the results of Harmonic scalpel hemorrhoidectomy with conventional open method in terms of postoperative pain, operative time and early mobilization of hemorrhoidectomy patients for the treatment of hemorrhoids. Methods: In this observational study, 50Patients with grade III IV hemorrhoids, operated between January 2018 to December 2018, using the harmonic scalpel Group A (n=25) or the conventional open technique Group B (n=25) were included. Both the groups were compared with respect to Operative time, Blood loss during surgery, early postoperative complications, postoperative pain measured on a visual analog scale (VAS), hospital stay, and return to normal work. Results: In the present study , average time taken was 16.42 ± 3.54 minutes in group A, while it was 20.39 ±4.58 minutes in group B with statistical significant difference among the study groups (p<0.05). The mean blood loss was 6.25 ± 2.20 ml, 30.25 ± 4.58 ml in the group A and group B respectively which was statistically significant (p<0.05). Postoperative pain with VAS in group A on the first postoperative day was 4.25 ± 1.52, while it was 7.28 ± 2.67 in the group B statically significant (p<0.05). The dose of analgesia was less in group A. The postoperative wound site soakage was less in group A, early ambulation and return to normal work was faster in group A. Conclusions: Hemorrhoidectomy using an ultrasonic scalpel is an effective and safe procedure in terms of blood loss, postoperative pain early return to routine work.

Hemorrhoidectomy Using Ultrasonic Scalpel- A Comparative Study with Conventional Approach in a Secondary Care Hospital in Kashmir