[Early results of surgical treatment of haemorrhoids at use of harmonic scalpel].
OBJECTIVE
To estimate the usefulness of harmonic scalpel during operation of haemorrhoids.


METHODS
It presented material 37 patients, 23 women and 14 men, in average from 28 for 76 year, middling 53 year. Operated by harmonic scalpel in haemorrhoids dissease. During the study was evaluate pain scale (NRS), hospitalization time, consumption of analgesics, postoperation complications, time needed to resume regular professional activity.


RESULTS
At the 1st, 2st, 1th postoperative mean intensity of pain was respectively: 2.3, 1.2, 1.0 Mean consumption of metamizole during the 1st postoperative day was 2.7 g/24, but to II day 1.1 g/24. Mean consumption of pethidine on the 1st postoperative day was 70.9 mg/24, but to II day 37.8 mg. Time of procedure evaluated from 10 for 44 minutes (median 26,9 minutes). Seven patients was bleeding from operation field. Postoperation complications has been appeared in 10 patient, including: bleeding (6 patients), leak from anal canal at 3 patients and anoderm mucosal oedema at one patient.


CONCLUSIONS
Using of harmonic scalpel in hemoroidectomy procedure is technically simple and safe procedure.
Szyca
Robert
R
Department of General, Thoracic and Vascular Surgery with Burn Unit, 10th Military Clinical Hospital with Polyclinics in Bydgoszcz. robin22@poczta.onet.pl
Jasiński
Andrzej
A
Tomaszewski
Sebastian
S
Jaworowska-Detyna
Iwona
I
Leksowski
Krzysztof
K
D000328:Adult; D000368:Aged; D013505:Digestive System Surgical Procedures / Q000295:instrumentation*; D004177:Dipyrone / Q000008:administration & dosage; D005260:Female; D006484:Hemorrhoids / Q000188:drug therapy / Q000601:surgery*; D006801:Humans; D008297:Male; D008614:Meperidine / Q000008:administration & dosage; D008875:Middle Aged; D011184:Postoperative Period; D016896:Treatment Outcome; D014464:Ultrasonic Therapy / Q000295:instrumentation*
D004177:Dipyrone; D008614:Meperidine