Comparative Study between Harmonic Scalpel Procedure and Traditional Surgical Procedure in Management of Hemorrhoids

Background: Hemorrhoids are normal anatomic clusters of vascular tissue, smooth muscle, and connective tissue that lie along the anal canal in 3 columns, Aim and objectives: The goal of this study was to compare the cost, operative time, and post-operative complications such as bleeding, pain, post-operative healing process, anal stenosis, and recurrence of hemorrhoidectomy using a Harmonic scalpel without ligation of the pedicle to a traditional surgical procedure of the pedicle. Subjects and methods: The current research was a prospective randomised experiment that took place between January 2019 and June 2021 on patients from Al-Azhar (Damietta) University Hospitals. Result: There was a statistically significant link between operation type and healing duration (p =0.001). The time it took for patients who had Harmonic scalpel hemorrhoidectomy to recover was statistically significantly shorter. On the contrary, there was a statistically significant link between the kind of operation and the length of stay in the hospital. Conclusion: It is concluded that although it was more expensive, but the Harmonic Scalpel group showed significantly lower postoperative pain, bleeding, anal stenosis, faster wound healing and less hospital stay when compared to the electrocautery group.