Background
Hemorrhoidal disease is a significant percentage of our patients. We wanted to introduce our 54 patient who were surgically treated with harmonic scalpel.

Material and Methods
54 patients; who had grade 2 or 3 hemorrhoids and treated with ultrasicion between 2007-2013 were studied retrospectively about hospitalisation, operation time, number of hemorrhoids removed and early postoperative complications

Results
The median age was 20,4(18-33). 51 patient(94%) was male, 3(6%) were female. In 31 patients 2 hemorrhoids, in 6 patients 3 hemorrhoids and in 7 patients only one hemorrhoids were removed. Operation time was 22(18-32) minutes. We observed thrombosis in 12 patient. In 2 patients early postoperative bleeding occured,one of them needed suture with local anesthesia. In 3 patients infection occured and treated with IV quinolone+metronidasole. Median hospitalisation time was 3,2(1-6) days.

Conclusion
There are many alternatives in the treatment of hemorrhoids today. Harmonic scalpel (ultrasicion), is a sealing device, which generate a high frequency ultrasonic energy within the vessel lumen. Lower bleeding amounts and faster surgery are the advantages of this device. It can be used safely for hemorrhoidal disease patients which are treated in peripheral centers like us.