Introduction: Hemorrhoids are common anal disorders. Surgical treatment required for third and fourth degree hemorrhoids. Milligan – Morgan hemorrhoidectomy is most commonly performed surgery for hemorrhoids, however in recent times several newer technique have been developed for hemorrhoids such as harmonic scalpel hemorrhoidectomy. In our study we compare outcome between two hemarrhoidal surgeries, harmonic scalpel hemorrhoidectomy and conventional hemorrhoidectomy.

Methods: This is a prospective study conducted between January 2016 to December 2016 which included 60 patients with grade 3 and grade 4 hemorrhoids. Thirty patients underwent conventional hemorrhoidectomy and another thirty patients underwent harmonic scalpel hemorrhoidectomy. Operative time, postoperative pain, length of post-operative hospital stay, wound healing duration and post-operative complications were compared between two groups.

Results: The harmonic scalpel hemorrhoidectomy group had significantly less operative time, postoperative pain, length of hospital stay, wound healing duration and less postoperative complications as compared to conventional hemorrhoidectomy group.

Conclusion: Harmonic scalpel hemorrhoidectomy is a sutureless surgery with less operative time, postoperative pain, hospital stay and faster wound healing. This makes harmonic scalpel hemorrhoidectomy a superior alternative for conventional hemorrhoidectomy with less morbidity and good patient compliance.

Keywords: Hemorrhoids; Milligan-Morgan Hemorrhoidectomy; Ferguson Closed Hemorrhoidectomy; Harmonic Scalpel Hemorrhoidectomy; Stapled Hemorrhoidopexy.