Harmonic Scalpel hemorrhoidectomy: a painless procedure?

Area of Science:

• Colorectal Surgery
• Surgical Innovation
• Pain Management

Background:

• Hemorrhoidal disease treatment often involves significant postoperative pain.
• The Milligan-Morgan technique is a standard surgical approach.
• Minimally invasive techniques are sought to improve patient outcomes.

Purpose of the Study:

• To statistically evaluate the efficacy of Harmonic Scalpel hemorrhoidectomy.
• To compare postoperative pain levels between Harmonic Scalpel and Milligan-Morgan techniques.
• To assess hemostasis stability in Harmonic Scalpel hemorrhoidectomy.

Main Methods:

• Seventy-seven patients with stage III and IV hemorrhoidal disease were studied.
• Patients underwent either Harmonic Scalpel hemorrhoidectomy or Milligan-Morgan technique.
• Postoperative pain was measured using the Visual Analog Scale on days 1, 2, and 7.

Main Results:

• Harmonic Scalpel hemorrhoidectomy demonstrated statistically significant reduction in postoperative pain.
• The Harmonic Scalpel group exhibited superior hemostasis compared to the Milligan-Morgan group.
• Less thermal damage associated with the Harmonic Scalpel contributed to improved outcomes.

Conclusions:

• Harmonic Scalpel hemorrhoidectomy is an effective method for reducing postoperative pain in hemorrhoidal disease treatment.
• This technique offers better hemostasis, leading to improved surgical results.
• The Harmonic Scalpel represents a valuable advancement in surgical management of hemorrhoids.