TRADITIONAL SURGERY
scalpel surgery
In many cases, hemorrhoidal disease can be treated by dietary modifications, topical medications, and soaking in warm water, which temporarily reduce symptoms of pain and swelling. Additionally, painless non-surgical methods of treatment are available to most of our patients as a viable alternative to a permanent hemorrhoid cure. In a certain percentage of cases, however, surgical procedures are necessary to provide satisfactory, long-term relief. In cases with greater prolapse, a variety of operative techniques are used to address the problem.
Milligan-Morgan Technique
This technique is the most popular method and is considered the gold standard by which most other surgical hemorrhoidectomy techniques are compared. Developed in the United Kingdom by Drs. Milligan and Morgan, in 1937. The three major hemorrhoidal vessels are excised. To avoid stenosis, three pear-shaped incisions are left open, separated by bridges of skin and mucosa. This technique is the most popular method and is consideredthe goldstandard by which most other surgicalhemorrhoidectomy techniques are compared.
Ferguson Technique
Developed in the United States by Dr. Ferguson in 1952. This is a modification of the Milligan-Morgan technique (above), in which the incisions are closed, either partially or entirely, with an absorbable running suture.