Evaluation the Role of Harmonic Scalpel in Open and Closed Hemorrhidectomy, Comparative Study

Ahmed, Mohamed Farid; Nada, Mohamed Ali; Mohamed, Khaled Hegazy Ali; Abdelrahman, Mostafa Omar

doi:10.21608/asjs.2024.337002

Evaluation the Role of Harmonic Scalpel in Open and Closed Hemorrhidectomy, Comparative Study

Document Type : Original Article

Authors

¹ Department of General Surgery, Faculty of Medicine, Ain Shams University, Egypt

² Department of General Surgery, Faculty of Medicine, 6 October University, Egypt

10.21608/asjs.2024.337002

Abstract

Introduction: One of the most common symptoms that patients have in any hospital in surgery departments is
hemorrhoids. There are several ways of treating them. Many different types of energy devices have recently been
used for hemorrhoidectomy to improve intraoperative hemostasis and lessen postoperative pain.
Ain of work: Evaluation of the role of harmonic scalpel versus an open and closed hemorrhoidectomy.
Patients and methods: Twenty patients with hemorrhoids underwent open hemorrhoidectomy without the use
of a harmonic scalpel in group 1, twenty patients with hemorrhoids underwent closed hemorrhoidectomy without
the use of a harmonic scalpel in group 2, and twenty patients with hemorrhoids underwent hemorrhoidectomy
using a harmonic scalpel in group 3. Sixty patients of both genders had investigatory support for hemorrhoids
grades 3 or 4 for surgical management. Assessment of intraoperative bleeding was done. The pain we evaluated
during the recovery time using a visual analogue scale (VAS), which has a scoring system from 0 to 10. And blood
loss assisting by vitality as heart rate, respiration rate, blood pressure, mental state, and urine output were used to
classify hemorrhagic shock and assess post-operative bleeding.
Results: Harmonic scalpel had short visual analog scale (0-1) while open method (1-2) and closed method (2-3)
after 24 hours, the harmonic scalpel group also experienced less intra- and post-operative hemorrhage.
Conclusion: Using a harmonic scalpel for a hemorrhoidectomy is a safe operation. As less postoperative pain,
intraoperative and postoperative blood loss, and operative time.

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