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Milligan-Morgan haemorrhoidectomy

This is the most commonly used open haemorrhoidectomy technique in Ireland. It was developed in the United Kingdom by Milligan and Morgan in 1937.1

The wounds are left open at the end of the procedure; the alternative name for this technique is the `open' haemorrhoidectomy.

evidence.png There is no proven benefit of the Ferguson technique over this one in terms of pain, or wound healing rate. [CKM+99]

evidence.png Numerous randomised trials attest to the superiority of the stapled haemorrhoidectomy (PPH) over the Milligan-Morgan procedure [MMH00];

However, longer term follow up is not available with respect to the durability of the stapled technique.

* Read more about:Mehigan paper on PPH


Adrian P. Ireland