J J Tan1, F Seow-Choen. 1. Department of Colorectal Surgery, Singapore General Hospital, Singapore.
Abstract
PURPOSE: The aim of this study was to compare diathermy and Harmonic Scalpel hemorrhoidectomy. METHODS:Fifty consecutive patients were randomly assigned to 2 groups: Group 1 (diathermy) and Group 2 (Harmonic Scalpel). RESULTS: The median duration of surgery was 10 minutes for both groups. The median number of pethidine injections used for both groups was zero. The median number of oral analgesic tablets taken was 13 by Group 1 and 14 by Group 2 patients. The median number of tubes of lidocaine jelly used was two by Group 1 and three by Group 2. There was no statistical difference between pain scores recorded by both groups. Five patients in Group 1 developed posthemorrhoidectomy bleed vs. one patient in Group 2 (P = NS). CONCLUSION:Hemorrhoidectomy by Harmonic Scalpel is comparable to diathermy hemorrhoidectomy in terms of postoperative pain and complications.
RCT Entities:
PURPOSE: The aim of this study was to compare diathermy and Harmonic Scalpel hemorrhoidectomy. METHODS: Fifty consecutive patients were randomly assigned to 2 groups: Group 1 (diathermy) and Group 2 (Harmonic Scalpel). RESULTS: The median duration of surgery was 10 minutes for both groups. The median number of pethidine injections used for both groups was zero. The median number of oral analgesic tablets taken was 13 by Group 1 and 14 by Group 2 patients. The median number of tubes of lidocaine jelly used was two by Group 1 and three by Group 2. There was no statistical difference between pain scores recorded by both groups. Five patients in Group 1 developed posthemorrhoidectomy bleed vs. one patient in Group 2 (P = NS). CONCLUSION: Hemorrhoidectomy by Harmonic Scalpel is comparable to diathermy hemorrhoidectomy in terms of postoperative pain and complications.
Authors: Liam A Haveran; Paul R Sturrock; Mark Y Sun; Janet McDade; Sudershan Singla; Craig A Paterson; Timothy C Counihan Journal: Int J Colorectal Dis Date: 2006-11-22 Impact factor: 2.571
Authors: Kemal Peker; Abdullah Inal; Huriye Güllü; Düriye Gül; Murat Sahin; Ayca Dumanli Ozcan; Kemal Kılıç Journal: Iran Red Crescent Med J Date: 2013-06-05 Impact factor: 0.611