چکیده (انگلیسی):

Purpose: In this prospective randomized study, our aim is to compare the shortand
long-term results of harmonic scalpel hemorrhoidectomy (HSH) and stapler hemorrhoidopexy
(SH) methods in the surgical treatment of Grade III and Grade IV hemorrhoidal disease.
Methods: Ninety-nine consecutive patients diagnosed with Grade III or Grade IV internal hemorrhoidal
disease were included in the study. Patients were randomized to HSH (n Z 48) or SH
(n Z 51) treatments. Data on patient demographic and clinical characteristics, operative details,
postoperative pain score on a visual analog scale, additional analgesic requirement, postoperative
short- and long-term complications, and recurrence of hemorrhoidal disease were
also recorded. Patients were regularly followed for a total period of 24 (6e36) months.
Results: The patient demographic and clinical characteristics were similar in the two groups.
The operative time was significantly shorter in the HSH group compared with the SH group.
Overall pain scores were not significantly different between the groups, although severe pain
was significantly more common in the HSH group. Recurrence was significantly lower in the HSH
group compared with the SH group.
Conclusion: HSH and SH are both safe and effective methods for surgical treatment of Grade III
and Grade IV hemorrhoidal disease. In our study, the HSH method was determined to be safer,
easier, and faster to perform, and associated with fewer long-term recurrences than the SH
method.