Conventional versus diathermy coagulation haemorrhoidectomy - a prospective study


  • Darpan Bansal Department of Surgery, SGRDIMSR, Amritsar, Punjab, India
  • Rana Ranjit Singh Department of Surgery, SGRDIMSR, Amritsar, Punjab,India
  • Kamal Sachdeva Department of Surgery, SGRDIMSR, Amritsar, Punjab,India
  • Avreen Singh Shah Department of Surgery, SGRDIMSR, Amritsar, Punjab,India



Diathermy, Haemorrhoidectomy, Haemorrhoids


Background: Haemorrhoids is one of the most frequently encountered anorectal disorders in clinical practice of surgeon. The main aim of the study was to compare conventional haemorrhoidectomy to diathermy coagulation.

Methods: 60 patients irrespective of their age and sex suffering from the late second and third degree hemorrhoids were divided into 2 groups of 30 patients each. Group A patients were subjected to conventional closed haemorrhoidectomy. Group B patients were subjected to diathermy coagulation of the pedicle.

Results: The results were compared by comparing complications and relief of symptoms after each surgery. The follow up was done for 3 months.

Conclusions: The traditional method of mass ligature of haemorrhoidal pedicle is not necessary and electrocoagulation of haemorrhoidal pedical is safe, economical and less time consuming.


Morgagni JB. Seats and causes of diseases. Letter 32, Article 10, translated by Benzamin Alexander, 1769, 21105 London. Quoted by Parks AG. Surgical treatment of haemorrhoids. Brit J Surg. 1956;43:337.

Bacon HE. Anorectal operating procedure with special reference to avoidance of pain. JAMA. 1941;116:363.

Morley S. Air improved technique for treatment of internal haemorrhoids by injection. Lancet. 1928;1:543-45.

Goligher JC. Surgery of anus, rectum and colon. Bailliere. Tindal, London. 1975;137.

Neiger A. Hemorrhoids in every day practice. Proctology. 1977;2:22.

Shafik A. A new concept of the anatomy of anal sphincter and mechanism of physiology of defecation. Am J Surg. 1984;148:393.

Verma JS, Chung SC, Li AK. Prospective randomized comparison of current coagulation and injection sclerotherapy for outpatient treatment of haemorrhoids. Int J Colorectal Dis. 1991;6(1):42.

Parks AG. Surgical treatment of haemorrhoids. Brit Jour Surg. 1956;43:337.

Ferguson JA, Heaton JR. Closed haemoorhoidectomy. Dis Col Rectum. 1959;2:176.

Choen FS, Ho YH, Ary KH, Goh HS. Prospective, randomized trial comparing pain and clinical function after conventional scissors excision/ligation versus diathermy excision without ligation for symptomatic prolapsed haemorrhoids. Dis Colon Rectum. 1992;35:1165-9.

Bassi R, Bergami G. A surgical treatment of haemorhoids: diathermocoagulation and traditional. Nierva Chir. 1997;52(4):387-391.

Correa-Rovelo JM, Tellez O, Obregon L. Prospective study of factors affecting pain and symptom persistence after stapled rectal mucosectomy for haemorrhoids. Dis Colon Rectum. 2003;46(7):955-62.

Oritz H, Marzo J, Armendariz P. Stapled haemorrhoidectomy versus conventional diathermy haemorrhoidectomy. Br J Surg. 2002;89(11):1376-81.

Cheetam MJ, Cohen CR, Kamm MA, Philips RK. Diathermy haemorrhoidectomy versus stapled haemorrhoidectomy in an intended dry care setting with longer term follow up. Dis Colon Rectum. 2003;46(4):491-7.






Original Research Articles