Double-blind, randomized trial comparing Harmonic Scalpel hemorrhoidectomy, XXXX hemorrhoidectomy, and scissors excision: ligation technique.

@entity1 @entity162 @entity190 @entity260 @entity6882 @entity158 @entity1241 @entity282
PURPOSE: The aim of this study was to compare the outcome of @entity1 receiving hemorrhoidectomy using Harmonic Scalpel, @entity162 , and the conventional scissors excision-ligation technique. METHODS: Eighty-six @entity1 with irreducible prolapsing piles were randomly assigned to receive 1) Milligan-Morgan hemorrhoidectomy using scissors excision-ligation technique or 2) @entity162 hemorrhoidectomy and Harmonic Scalpel hemorrhoidectomy. Neither the @entity1 nor the independent assessor were aware of the technique used at operation. @entity1 were followed up at 4 and 12 weeks after operation. The measured outcomes included 1) operation time; 2) @entity190 ; 3) postoperative hospital stay; 4) @entity158 score; 5) @entity158 expectation score; 6) date of first bowel movement; 7) number of @entity6882 injections; 8) number of dologesic tablets taken; 9) time off work or normal activity; 10) wound healing; 11) satisfaction score; and 12) @entity260 , including @entity1241 . RESULTS: There was no difference among the three groups in the operation time, hospital stay, @entity158 expectation score, day of first bowel movement, number of dologesic tablets taken, time off work or normal activity, wound healing, and satisfaction score. The complication rate also did not differ in the three groups. Both Harmonic Scalpel hemorrhoidectomy and @entity162 hemorrhoidectomy were superior to Milligan-Morgan hemorrhoidectomy in terms of reduced @entity190 . Harmonic Scalpel hemorrhoidectomy had the @entity158 score when compared with @entity162 hemorrhoidectomy and Milligan-Morgan hemorrhoidectomy, and @entity1 required significantly less pethidine injection after Harmonic Scalpel hemorrhoidectomy than after Milligan-Morgan hemorrhoidectomy. Although the time required to return to work or normal activity remained similar, @entity1 after Harmonic Scalpel hemorrhoidectomy had the best satisfaction score among the three groups. CONCLUSION: The study shows that Harmonic Scalpel hemorrhoidectomy is as good as @entity162 hemorrhoidectomy in terms of reduced @entity190 but is superior because it is associated with less @entity282 and hence, better @entity1 satisfaction. However, these observed benefits are small, and the time off work or normal activity remains similar.
