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>Journals >Cirugía y Cirujanos >Year 2008, Issue 5

Belmonte-Montes C, Maydón-González HG, Velásquez-Ayuzo EO, Guerrero-Guerrero VH, Pérez-Aguirre J
Modified Ferguson’s technique vs. Harmonic scalpel as surgical treatment for hemorrhoidal disease: a randomized controlled prospective trial
Cir Cir 2008; 76 (5)

Language: Español
References: 9
Page: 409-414
PDF: 52.28 Kb.

[Full text - PDF]


Background: Surgical treatment is the definitive treatment for stages III and IV hemorrhoidal disease. Currently, there is no intervention that can efficiently eliminate postoperative pain and convalescence. It is necessary to study new technologies such as the Harmonic Scalpel that may lower tissue damage and to compare them to a widely used procedure such as Ferguson’s technique.
Methods: Our sample consisted of 29 randomized patients operated on with either the Harmonic Scalpel or modified Ferguson’s technique. All preparations, surgical team and postoperative care were standard for both groups. After surgery, patients were evaluated at 24 h, every week for 1 month and every month for up to 3 months. Student’s t-test for independent samples was used to compare pain and operative variables. Pearson’s χ2 test was used to compare age, gender, diagnosis, and convalescence time.
Results: Sugical time, operative bleeding and pain at 24 h and 2 weeks after surgery were significantly less in the Harmonic Scalpel group. Average convalescence time was 32 days for Harmonic Scalpel group and 46 days for the modified Ferguson’s group. One patient in the Harmonic Scalpel group required reintervention for hemostasis.
Conclusions: Use of the Harmonic Scalpel for hemorrhoidectomy may offer operative and clinical advantages over the modified Ferguson’s technique. These results encourage the realization of a larger scale clinical trial in order to obtain more conclusive evidence.

Key words: Hemorrhoidectomy, Harmonic Scalpel, Ferguson’s hemorrhoidectomy.


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  9. Johnson & Johnson Gateway [homepage on the Internet]. New Jersey: The Company; c2000-2007 [updated 2004 Nov 22; cited 2007 Jul 30]. Harmonic Scalpel; [about 2 screens]. Available from http://www.jnjgateway.com/home.jhtml?loc=USENG&page=viewContent&contentId=09008b9880a2d37a&parentId=09008b9880a2ba17

>Journals >Cirugía y Cirujanos >Year 2008, Issue 5

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