A comparative study between Stapled hemorrhoidopexy and harmonic scalpel hemorrhoidectomy in third-degree and fourth-degree circumferential piles: a randomized clinical trial

Background: The complexity of piles management necessitates the development of new techniques on a regular basis in order to achieve the safest and most successful technique with a high level of patient satisfaction, one of the most difficult aspects of piles surgeries. This study compares two of the most effective techniques in piles management based on post-operative results.Objective: To compare results of stapled hemorrhoidopexy (SH) and harmonic scalpel hemorrhoidectomy (HSH) in the management of Grade III and Grade IV regarding time of procedure, post-operative outcomes in the form of post-operative pain, patient satisfaction, wound infection, post operative bleeding, incontinence and recurrence within one year.