Comparision Of Haemorrhoidectomy With Harmonic Scalpel, Laser Haemorrhoid Surgery And Open Milligan-Morgan Technique

Abstract

ABSTRACT
Objectives: Haemorrhoids are common and frequently occurring diseases in the clinical
setting, and severe haemorrhoids require surgical treatment. There have been many
attempts to find less painful and less complicated surgical methods for treating
hemorrhoids.
Aim: The aim of this study was to compare the efficacy of harmonic scalpel, Milligan
Morgan technique and laser surgery method in patients undergoing haemorrhoidectomy.
Methods: this cross sectional observational hospital based study was conducted in the
department of surgery in a tertiary care hospital, India. A total of 90 Patients with grade III
or IV hemorrhoids, divided into three groups (30 each), harmonic scalpel, Milligan Morgan
technique and laser surgery method were studied. All three 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: Most of the patients were 41-60 years male in all haemorrhoidectomy methods.
Laser surgery, Milligan Morgan technique and Harmonic scalpel was differ significantly in
terms of duration of surgery, blood loss during surgery, hospital stay, VAS score of
postoperative pain and return to normal work. However, there is no significant difference in
term of early post-operative complications like bleeding and urinary retention in all three
groups.
Conclusion: Laser surgery can be adapted as a safe and effective alternate method as
compared to Harmonic scalpel or Milligan Morgan technique for treating symptomatic
haemorrhoids.
Keywords: Haemorrhoids, Haemorrhoidectomy, Harmonic scalpel, Milligan Morgan, laser surgery