Introduction: Minimally invasive procedure for hemorrhoids (stapler hemorrhoidectomy) has been considered as a novel technique in the surgical treatment of prolapsed hemorrhoids. Although it involves substantial added cost, it resulted in shorter period of convalescence in comparison with Open hemorrhoidectomy. T Aim: o investigate and compare the outcome and post-operative complications in patients with grade 2, 3 and 4 hemorrhoids who underwent hemorrhoidectomy with either Stapler hemorrhoidectomy or Milligan Morgan hemorrhoidectomy. A total of 80 patients betwee Methods: n the age group 28 to 40 years who were diagnosed with grade 2, 3 and 4 hemorrhoids, were divided into two groups equally. Group- 1 contains 40 Patients undergoing Stapler hemorrhoidectomy and Group- 2 contains 40 Patients undergoing Open hemorrhoidectomy/Milligan Morgan. Post-operatively patients of both the groups were assessed for bleeding, pain against pre-operative symptom prole, development of recurrence and long-term complications.. Results: MIPH is associated with signicantly less post operative pain (p<0.05), less post operative bleeding(p<0.05) and equal recurrence, when compared with open hemorrhoidectomy. Both methods were effective in the treatme Conclusion: nt of hemorrhoidectomy, however the advantages of Stapler hemorrhoidectomy in terms of lesser operative time and intra and post-operative bleeding and lower incidence of various post-operative complications was observed

Background: The use of negative pressure to enhance wound healing is a well-known notion. If excess fluid is not effectively evacuated from a wound during surgery, its constituents may act as both physical and chemical impediments to wound healing. Furthermore, mechanical stresses can alter tissue form and growth. A buried drain tube has little mechanical impact on the surrounding tissue. Aims and Objectives: The aim of the study was to compare the effectiveness of negative pressure wound therapy (NPWT) versus conventional wound treatment (CWT) in abdominal wounds after surgery in clinical practice. Materials and Methods: The present and prospective study was conducted among 60 patients taking treatment for abdominal wounds after surgery at General surgery Department at BJ Medical College, Ahmedabad, Gujarat, India, during June 2022–May 2023. The cases divided in two groups: Group A: Patients treated with NPWT (n = 30), Group B: Patients treated with CWT (n = 30). Results: Cases treated by NPWT had faster reduction of surface area, higher rate of granulation achieved in lesser time and had better outcome with wound closure by delayed primary suturing. Conclusion: NPWT is the safe and effective compare to CWT in term of duration of wound closure, faster reduction in surface area, and faster proliferation of granulation tissue.