Introduction: Internal hemorrhoids are classified on the basis of degree of prolapse and manifestation intoGrade I-IV. Hemorrhoidectomy is the standard surgical treatment for Grade III and IV hemorrhoids. The studywas done to compare hemorrhoidectomy performed using electrocautery with harmonic scalpel.Material and Methods: The study was double blind randomized trial conducted in the Department of GeneralSurgery, Government RDBP Jaipuria Hospital from January, 2023 to September, 2023. Patients with Grade 3and Grade 4 hemorrhoids above 18 years of age were randomly divided into two groups to undergo MilliganMorgan hemorrhoidectomy using either electrocautery or harmonic scalpel. Intraoperative and postoperativevariables were evaluated in both groups.Result: There were 30 patients in each group. There was no significant difference in the two groups with regardto grade of hemorrhoids, sex or age. Significant difference in groups was noted in terms of intraoperative andpostoperative bleeding and average postoperative pain score with result being better in harmonic scalpel group.Conclusion: Hemorrhoidectomy performed using harmonic scalpel is a safe and effective treatment for GradeIII and Grade IV hemorrhoids. Harmonic use reduces the operative time, the postoperative blood loss and mostimportantly, postoperative pain in comparison to conventional electrocautery based hemorrhoidectomy

Introduction: Internal hemorrhoids are classified on the basis of degree of prolapse and manifestation intoGrade I-IV. Hemorrhoidectomy is the standard surgical treatment for Grade III and IV hemorrhoids. The studywas done to compare hemorrhoidectomy performed using electrocautery with harmonic scalpel.Material and Methods: The study was double blind randomized trial conducted in the Department of GeneralSurgery, Government RDBP Jaipuria Hospital from January, 2023 to September, 2023. Patients with Grade 3and Grade 4 hemorrhoids above 18 years of age were randomly divided into two groups to undergo MilliganMorgan hemorrhoidectomy using either electrocautery or harmonic scalpel. Intraoperative and postoperativevariables were evaluated in both groups.Result: There were 30 patients in each group. There was no significant difference in the two groups with regardto grade of hemorrhoids, sex or age. Significant difference in groups was noted in terms of intraoperative andpostoperative bleeding and average postoperative pain score with result being better in harmonic scalpel group.Conclusion: Hemorrhoidectomy performed using harmonic scalpel is a safe and effective treatment for GradeIII and Grade IV hemorrhoids. Harmonic use reduces the operative time, the postoperative blood loss and mostimportantly, postoperative pain in comparison to conventional electrocautery based hemorrhoidectomy