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.

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

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

• Less post operative pain
• More rapid return to normal activities

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

Read more about:Mehigan paper on PPH