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| Methods | Assignment: alternating Follow‐up: 6 months | |
| Participants | Grade 3 and 4 hemorrhoids. | |
| Interventions | Ligasure and conventional open technique (Milligan‐Morgan) | |
| Outcomes | Operating time, pain, analgesics use, wound dehiscence, incontinence, complications | |
| Notes | MJS 1 | |
| Risk of bias | ||
| Bias | Authors' judgement | Support for judgement |
| Allocation concealment (selection bias) | High risk | C ‐ Inadequate |
