A method for haemorrhoidectomy using monopolar diathermy with wound closure

Abstract EN

Objective : To compare the effectiveness of monopolar diathermy haemorrhoidectomy and closure of haemorrhoidectomy wound with conventional Milligan-Morgan haemorrhoidectomy in reducing the post operative pain and complications.

Also to determine the time of hospital stay, wound healing and return to activity.

Patients & Methods : A total of 180 patients with symptomatic haemorrhoids (3rd and 4th degree) were studied from May 2000 to March 2003 at Basrah General Hospital.

Patients were randomized into two groups; group (A) treated by open haemorrhoidectomy according to Milligan–Morgan (no = 100), and group (B) treated by 30 watts monopolar diathermy haemorrhoidectomy with closure of haemorrhoidectomy wound (no = 80).

Result : Significant differences between the two groups were noticed regarding the postoperative pain and complications, time of wound healing and return to activity.

Conclusion : patients with symptomatic haemorrhoids derive greater benefit from diathermy haemorrhoidectomy with wound closure regarding less postoperative pain and complications, short hospital stay and early return to normal life.