| Methods |
Assignment: sealed envelop
Follow‐up:
4 weeks |
| Participants |
Grade 3 and 4 hemorrhoids.
Exclusion:
previous or concomitant anorectal disease, thrombosed or strangulated hemorrhoids, compromised patients, pregnancy and history of bleeding tendency. |
| Interventions |
Ligasure and conventional closed technique (Fansler) |
| Outcomes |
Operating time, pain, analgesics use, wound dehiscence, complications |
| Notes |
MJS 4 |
| Risk of bias |
| Bias |
Authors' judgement |
Support for judgement |
| Allocation concealment (selection bias) |
High risk |
C ‐ Inadequate |
