Title: A Prospective Study to determine the outcome and efficacy of Harmonic scalpel Hemorrhoidectomy
Authors: Thakur D S, Joshi H, Somashekar U, Kothari R, Kumar V, Sharma D
DOI: https://dx.doi.org/10.18535/jmscr/v8i2.148
Abstract
Aims and Objectives: The aim of the present work is to determine the outcome and efficacy of Harmonic scalpel hemorrhoidectomy (HSH) for grade III and IV hemorrhoids in terms of Operating time, Post operative pain, Post operative stay and Post operative complications.
Methods: Prospective study of 30 patient for grade III and IV hemorrhoids was done from October 2017 to 31st August 2019 at department of general surgery N.S.C.B Medical College and Hospital, Jabalpur. All surgeries done under saddle block. A follow up examination was conducted for minimum period of 3 months.
Results: Out of 30 patients 7 female and 23 male patients were treated with HSH. The mean age of patients were 46.17 years. The average operative time was 19.20±2.14min.VAS pain score on postoperative Day 1, Week 1, Week 3, Week 6 were 4.77±0.94 , 2.83±0.75 , 0.20±0.41 and 0.The average postoperative stay was 1.13 ±0.43 days. the incidence of post operative hemorrhage was low and 1 of 30 cases i.e. 3.3% and no recurrence or fecal incontinence, stenosis/stricture, and anal abscess was found after 3 months of follow up.
Conclusion: The present study shows that HSH is safe, effective, with less complication rate.
