Length of Stay Clinical Trial
Official title:
Hemorrhoidectomy in Patients With Grade III and IV Disease:Harmonic Scalpel Compared With Conventional Technique
Hemorrhoidectomy is the treatment of choice for grade 3 and 4th degree hemorrhoids. Various surgical technique has been used to improve the outcome of the procedures performed in respect to operative time ,post operative pain and hospital stay. This study compares the conventional closed technique with harmonic scalpel technique which is a device regulated with ultrasonic waves to perform the procedure with minimal postoperative complication as well as decreasing the prolong stay in hospital.
INTRODUCTION:
Ferguson closed hemorrhoidectomy is conventional procedure in 3rd and 4th degree hemorrhoids
but recent advances in harmonic scalpel have shown to produce favorable results. Comparison
of these two is studied in terms of pain outcome as patient perceives, operative time and
duration of hospital stay.
OBJECTIVES:
To compare the outcome of conventional hemorrhoidectomy versus harmonic scalpel in III and IV
degree hemorrhoids.
STUDY DESIGN:
Randomized controlled trial
STUDY SETTING:
The study was conducted in surgical unit 1, Services hospital, Lahore.
DURATION OF STUDY:
Study was completed in six months after the approval of synopsis i.e. from 27th August 2015
to 26th February 2016.
DATA COLLECTION PROCEDURE:
After approval from hospital ethical committee, 100 patients fulfilling the inclusion
criteria had been recruited from outdoor and emergency department. A detailed history had
been taken including demographic data (age, address) and all patients had been clinically
examined .Patients was divided in two groups randomly using random number tables. Group A:
Conventional hemorrhoidectomy. Group B: harmonic scalpel hemorrhoidectomy. Patients had been
requested to sign an informed consent. They had been assured regarding confidentiality and
expertise used for the procedure. All procedures had been performed by a single surgical
operating team to control bias. Per operatively operative time was noted. Post operatively
pain had been assessed in 24 hours , mean hospital stay was measured in days from
postoperative day till day of discharge (as per operational definition). All data had been
collected and recorded on the attached Performa.
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