Ferguson haemorrhoidectomy

This technique was developed by Ferguson in the United States of America in 1952.

It is similar to the Milligan-Morgan technique except;

• The dissection is done as much as possible in the anal canal without pulling the haemorrhoid out
• The mucosal defects are sutured together to close the wound at the end of the procedure;

The alternative name for this procedure is the `closed' haemorrhoidectomy.

It was hoped that this technique would result in less pain and more rapid healing than the `open' technique but there is no proven benefit in terms of pain, or wound healing rate. In fact the wounds usually break down and then take longer the heal. [CKM⁺99]