Comparison of harmonic scalpel versus Milligan Morgan technique in haemorrhoidectomy patients

Authors

  • Muhammad Ahmad Department of General Surgery, Shalamar Hospital Lahore, Pakistan
  • Syed Tatheer Abbas Department of General Surgery, Shalamar Hospital Lahore, Pakistan
  • Amna Javaid Department of General Surgery, Lahore General Hospital (LGH), Lahore, Pakistan
  • Naveed Arshad Rehabilitation Sciences, Islamabad Medical and Dental College, Islamabad, Pakistan https://orcid.org/0000-0003-1143-8959
  • Falak Shair Department of General Surgery, Lahore General Hospital (LGH), Lahore, Pakistan

DOI:

https://doi.org/10.47391/JPMA.03-1303

Abstract

Objectives: To assess the comparison of harmonic scalpel versus Milligan Morgan technique in patients undergoing haemorrhoidectomy.

Methodology: This randomized controlled trial study was conducted at General Hospital, Lahore, from March 2019 to September 2019. Informed consent was obtained from eligible 60 patients. Patients were randomly divided into two equal groups. In group-A, haemorrhoidectomy was conducted according to the harmonic scalpel method. In group-B, open haemorrhoidectomy was performed by the Milligan Morgan procedure. Data was assembled through a designed questionnaire and investigated via SPSS version 25. Data were stratified for descriptive statistics, level of haemorrhoids and period of haemorrhoids. Post-stratification, independent sample t-test was used.

Results: Mean age of both groups patients were 44.6±7.6 and 43.8±8.2 years, respectively. In group-A, mean operative time was 20.8±2.8 minutes, while 26.5±2.8 minutes in group-B, which was statistically significant with p-value of 0.001. In group-A, mean convalescence period was 9.7±2.9 days, while 13.4±3.7 days in group-B, which was statistically significant with p-value of 0.001. The mean convalescence period with harmonic scalpel method was 7.4 days (range 5–14, SD 3.6) versus 18.6 days (range 7–30, SD 5.4) with Milligan Morgan technique (P?0.001). This research observed that harmonic scalpel method required almost six weeks for complete wound healing, whereas in  Milligan Morgan technique, complete wound healing was achieved after three months (P<0.05).

Conclusion: Harmonic scalpel haemorrhoidectomy found an advantageous method when assessing the operative time and convalescence period. Hence, Harmonic scalpel haemorrhoidectomy can be adapted as a safe and effective alternative method for treating symptomatic haemorrhoids.

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Author Biographies

Muhammad Ahmad, Department of General Surgery, Shalamar Hospital Lahore, Pakistan

General surgery

Senior registrar

Syed Tatheer Abbas, Department of General Surgery, Shalamar Hospital Lahore, Pakistan

General surgery

Senior registrar

Amna Javaid, Department of General Surgery, Lahore General Hospital (LGH), Lahore, Pakistan

General surgery

Associate professor

Naveed Arshad, Rehabilitation Sciences, Islamabad Medical and Dental College, Islamabad, Pakistan

Assistant Professor,

Rehabilitation Sciences (Medicine) Department

Falak Shair, Department of General Surgery, Lahore General Hospital (LGH), Lahore, Pakistan

General surgery

Senior registrar

Published

2021-08-18

Issue

Section

Original Article