E-ISSN 2534-9821
 
2022, Vol: 6, Issue: 24
6/24Current Issue Online FirstArchiveAims and ScopeAbstracting & IndexingMost Accessed ArticlesMost Downloaded ArticlesMost Cited Articles
Required files to be uploaded

Copyright Transfer Form

Original Research 


Harmonic scalpel assisted hemorrhoidectomy versus conventional Milligan Morgan hemorrhoidectomy in patients with Grade III and IV hemorrhoids: A prospective, randomized, controlled study

Vaibhav Rathi, Jogesh Chandra Marhual, Sibajyoti Satapathy.

Abstract
Introduction: Harmonic scalpel Hemorrhoidectomy (HSH) is reported to have superior outcomes than Milligan-Morgan hemorrhoidectomy (MMH). However, there is considerable variability in time to return to daily activities, post-operative pain, operating time, and hospital stay. Aims and Objectives: To compare MMH and HSH in terms of various outcomes. Materials and Methods: This prospective randomized controlled study was performed over a period of 12-months (December 2019 to November 2020) in the Department of General Surgery of a tertiary care hospital and included 60 adult patients with grade III and IV hemorrhoids. The patients were randomly and equally divided into either of the two groups i.e., MMH (n=30) or HSH (n=30). Post-operatively patients were evaluated and follow-up to compare the outcomes, including operative time, intra-operative bleeding, post-operative pain, duration of hospitalization, time required to return to daily activities, and intra- and post-operative complications. Results: The time required to return to daily activity was significantly less in the HSH group (p-value=0.0004). The operative time, intra-operative bleeding, and duration of hospitalization were significantly less in the HSH group (all p-values<0.0001). The mean VAS score for post-operative static and post-defecation pain was significantly reduced in the HSH group at all the time intervals (all p-values<0.0001). Moreover, significantly higher proportion of patients in the MMH group had post-operative discharge (p-value=0.02). Conclusion: HSH is superior to MMH in terms of significantly reduced time to return to daily activities, operating time, intra-operative blood loss, post-operative static and post-defecation pain, hospitalization, and intra- and post-operative complications.

Key words: Harmonic Scalpel Hemorrhoidectomy, Hemorrhoids, Hemorrhoidectomy, Milligan Morgan Hemorrhoidectomy


 
ARTICLE TOOLS
Abstract
PDF Fulltext
How to cite this articleHow to cite this article
Citation Tools
Related Records
 Articles by Vaibhav Rathi
Articles by Jogesh Chandra Marhual
Articles by Sibajyoti Satapathy
on Google
on Google Scholar


How to Cite this Article
Pubmed Style

Rathi V, Marhual JC, Satapathy S, . Harmonic scalpel assisted hemorrhoidectomy versus conventional Milligan Morgan hemorrhoidectomy in patients with Grade III and IV hemorrhoids: A prospective, randomized, controlled study. Int J Med Rev Case Rep. 2022; 6(24): 1-6. doi:10.5455/IJMRCR.172-1658837311

Web Style

Rathi V, Marhual JC, Satapathy S, . Harmonic scalpel assisted hemorrhoidectomy versus conventional Milligan Morgan hemorrhoidectomy in patients with Grade III and IV hemorrhoids: A prospective, randomized, controlled study. https://www.mdpub.net/?mno=89611 [Access: February 23, 2023]. doi:10.5455/IJMRCR.172-1658837311

AMA (American Medical Association) Style

Rathi V, Marhual JC, Satapathy S, . Harmonic scalpel assisted hemorrhoidectomy versus conventional Milligan Morgan hemorrhoidectomy in patients with Grade III and IV hemorrhoids: A prospective, randomized, controlled study. Int J Med Rev Case Rep. 2022; 6(24): 1-6. doi:10.5455/IJMRCR.172-1658837311


Vancouver/ICMJE Style

Rathi V, Marhual JC, Satapathy S, . Harmonic scalpel assisted hemorrhoidectomy versus conventional Milligan Morgan hemorrhoidectomy in patients with Grade III and IV hemorrhoids: A prospective, randomized, controlled study. Int J Med Rev Case Rep. (2022), [cited February 23, 2023]; 6(24): 1-6. doi:10.5455/IJMRCR.172-1658837311


Harvard Style

Rathi, V., Marhual, J. C., Satapathy, S. & (2022) Harmonic scalpel assisted hemorrhoidectomy versus conventional Milligan Morgan hemorrhoidectomy in patients with Grade III and IV hemorrhoids: A prospective, randomized, controlled study. Int J Med Rev Case Rep, 6 (24), 1-6. doi:10.5455/IJMRCR.172-1658837311


Turabian Style

Rathi, Vaibhav, Jogesh Chandra Marhual, Sibajyoti Satapathy, and . 2022. Harmonic scalpel assisted hemorrhoidectomy versus conventional Milligan Morgan hemorrhoidectomy in patients with Grade III and IV hemorrhoids: A prospective, randomized, controlled study. International Journal of Medical Reviews and Case Reports, 6 (24), 1-6. doi:10.5455/IJMRCR.172-1658837311


Chicago Style

Rathi, Vaibhav, Jogesh Chandra Marhual, Sibajyoti Satapathy, and . "Harmonic scalpel assisted hemorrhoidectomy versus conventional Milligan Morgan hemorrhoidectomy in patients with Grade III and IV hemorrhoids: A prospective, randomized, controlled study." International Journal of Medical Reviews and Case Reports 6 (2022), 1-6. doi:10.5455/IJMRCR.172-1658837311


MLA (The Modern Language Association) Style

Rathi, Vaibhav, Jogesh Chandra Marhual, Sibajyoti Satapathy, and . "Harmonic scalpel assisted hemorrhoidectomy versus conventional Milligan Morgan hemorrhoidectomy in patients with Grade III and IV hemorrhoids: A prospective, randomized, controlled study." International Journal of Medical Reviews and Case Reports 6.24 (2022), 1-6. Print. doi:10.5455/IJMRCR.172-1658837311


APA (American Psychological Association) Style

Rathi, V., Marhual, J. C., Satapathy, S. & (2022) Harmonic scalpel assisted hemorrhoidectomy versus conventional Milligan Morgan hemorrhoidectomy in patients with Grade III and IV hemorrhoids: A prospective, randomized, controlled study. International Journal of Medical Reviews and Case Reports, 6 (24), 1-6. doi:10.5455/IJMRCR.172-1658837311


Author LoginReviewer LoginAbout PublisherEditorial PoliciesPeer Review PolicyEditorial & Peer Review ProcessAuthor's Rights and ObligationsPublication Ethics and Publication Malpractice StatementConflict of Interest PolicyPlagiarism PolicyProtection of Research Participants (Statement On Human And Animal Rights)Privacy PolicyCorrections, Retractions & Expressions of ConcernSelf-Archiving PoliciesStatement of Informed ConsentAdvertising PolicyTerms of UseLicense InformationCopyright Information
Copyright © 2023 International Journal of Medical Reviews and Case Reports All Rights Reserved. Subject to change without notice from or liability to International Journal of Medical Reviews and Case Reports.
For best results, please use Internet Explorer or Google Chrome

Contact Information


Any correspondence, queries or additional requests for information on the manuscript submission process should be sent to the International Journal of Medical Reviews and Case Reports editorial office as follows:

Bulgarian Association of Young Surgeons (BAYS);

National Center of Public Health and Analyses (NCPHA), floor 2, office № 31,  Sofia 1431, Bulgaria.

inkov@journalmedica.com

Financial department is managed by International Sci Ink Press. 

It is a company registered in Bulgaria with registered no. 205414288 and registered address at 57 Antim I str., Vazrazhdane, Sofia, 1303, Bulgaria.

Tel: +359883427500