A comparison study was performed between Ligasure and Milligan morgan hemorrhoidectomy to find out the outcome between these two techniques in 3rd and 4th degree hemorrhoids.This advance vessel sealing device is used to seal the pedicle of the vessel and does not burn the surrounding tissues , so the outcome was monitored in terms of operative time, post operative pain pain, duration of wound healing in 3 weeks and return to normal activities
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operative time
Timeframe: each participant was measured from the start of operation till the dressing i.e duration of 20 minutes to 60 minutes
mean postoperative pain
Timeframe: each participant was individually assessed after operation in 6 hours,24 hours and 48 hours post-operative and changes noted in 48 hours
wound healing
Timeframe: to assess change in the parameter in 3 weeks
Return to work
Timeframe: assessed individually from the day of surgery to resume of daily activities i.e 1 to 7 days