Haemorrhoidectomy: a Comparative Study of Open & Closed Methods

Abstract

Background: Haemorrhoidectomy is an operation for third and fourth degree hemorrhoids Aim: To compare the closed (Ferguson) and open (Milligan-Morgan) methods. Methods: A prospective study, eighty patients admitted with hemorrhoids were randomly allocated to either open or closed methods. Results: Mean operative time was shorter in the open method. Analgesic requirement were less in the closed method. Healing time was shorter in the closed method. Conclusions: The closed technique is associated with less pain during early post- operative period and faster healing.