A prospective comparative study of surgical treatment of haemorrhoids: harmonic vs open haemorrhoidectomy vs minimally invasive procedure for haemorrhoids and its clinical outcome
DOI:
https://doi.org/10.18203/2349-2902.isj20254329Keywords:
Haemorrhoid’s,, Harmonic haemorrhoidectomy, Open haemorrhoidectomy, MIPH, Postoperative complicationsAbstract
Background: Haemorrhoids are a prevalent anorectal disorder affecting roughly 25–30% of the population, with incidence rising with age. This study was designed to compare open haemorrhoidectomy methods with both MIPH and harmonic scalpel-assisted procedures. It aims to assess and contrast clinical outcomes, recovery duration, and complication rates among these surgical approaches.
Methods: A comparative prospective study was conducted with 50 patients in each group. Patients were randomly allocated in each group and followed for a period of two month. Mean duration of surgery, hospital stay, complications, results outcome and follow up complications were compared.
Results: Mean time was maximum in open haemorrhoidectomy 36.78±5.676 mins, followed by harmonic 27.46±0.71 min. MIPH procedure took the least time of 17.6±4.2426 mins. In open haemorrhoidectomy duration of stay was 3.02±0.807 days. In harmonic and MIPH the mean duration of stay was 1.8±0.7071 and 1.94±0.506 respectively. Complications were more in Open followed by Harmonic and MIPH procedure respectively.
Conclusions: Despite its higher cost, MIPH demonstrated superior outcomes when compared to open and harmonic haemorrhoidectomy techniques.
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