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Haemorrhoidal disease develops slowly. In comparison to electrocautery, surgical intervention with the Harmonic Scalpel® shear is a revolutionary approach for ablation of symptomatic fourth and third degree haemorrhoids. In contrast to electrocautery, Harmonic Scalpel® causes less discomfort because of its restricted lateral thermal injury during tissue dissection. The purpose of this study was to observe how effective Harmonic Scalpel® is at reducing postoperative problems after a haemorrhoidectomy. A harmonic US scalpel device was utilized to do the hemorrhoidectomy in group A, while a monopolar electrocautery device was employed in group B, which included 82 individuals. In this study, postoperative pain was more statistically significant in the Harmonic haemorridectomy group A than in group B haemorridectomy, in keeping with a pain numerical analogue scale of 1 to 10. The postoperative pain in group A was statistically significant on the 1st, 2nd, 4th, 7th, 14th, and 28th days of follow up, p<0.001. Time off work and patient satisfaction were statistically significant in the harmonic group, 2.50±0.066 compared to the surgery group, 3.56±0.070 (p<0.05). Healing of postoperative ulcers was statistically significant in the harmonic group (2.640.062 vs. 4.120.062 in surgery) (p<0.037).

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Background: To start laparoscopic procedures, accessing the peritoneal cavity and establishing a carbon dioxide pneumoperitoneum are critical. The placement of the primary trocar is an important step in laparoscopic surgery. Many techniques have been reported in order to limit complications associated with the placement of the first trocar. In the study we describe a surgical method that offers quick, safe, and reliable preliminary entry into the peritoneal cavity with incredible functional and cosmetic results. Methods: A prospective randomised comparative study was conducted on 202 candidates for various laparoscopic surgery, comparing true umbilical versus supra umbilical open access for pneumoperitoneum from November 2021 to May 2022 in our surgical department. Results: There were 202 patients in the study, 109 (women) and 93 men. The port site entry per seconds was 41.3± 1.2 in true umbilical technique (group A) and 132.9± 5.5 in supra umbilical open technique (group B), and that was a statistically significant difference (p < 0.0001). There was a statistically significant difference in the mean time of port site wound closure (<0.0001) and port site gas leaking in the true umbilical access group compared to the supra umbilical access group (0.000161).