Haemorrhoidectomy (Milligan-Morgan / Ferguson)
Conventional surgical removal of haemorrhoidal tissue - the most definitive treatment for severe Grade III and Grade IV haemorrhoids. Available at Lux Hospitals, Hyderabad as part of the comprehensive piles surgery programme.
What is Haemorrhoidectomy (Milligan-Morgan / Ferguson)?
Haemorrhoidectomy is the surgical excision of haemorrhoidal tissue and remains the most definitive treatment for severe piles. The Milligan-Morgan technique leaves the excision wounds open to heal by secondary intention, while the Ferguson technique uses absorbable sutures for primary wound closure - offering faster healing in selected cases. Dr. Samhitha Reddy performs haemorrhoidectomy at Lux Hospitals, Hyderabad for Grade III–IV haemorrhoids, large external disease, or cases where minimally invasive procedures are not sufficient. As one of the most experienced piles doctors in Hyderabad, Dr. Samhitha uses meticulous technique to achieve complete disease resolution with minimal post-operative discomfort and complications.
How the Procedure Works
Pre-operative Assessment
Blood tests, ECG, and anaesthesia assessment. Enema bowel preparation on the morning of surgery.
Anaesthesia
Spinal or general anaesthesia. The patient is positioned in the lithotomy or left lateral position for optimal surgical access.
Haemorrhoidal Excision
Each haemorrhoidal bundle (typically 3 positions - 3, 7, and 11 o'clock) is individually clamped at its pedicle, excised, and ligated securely.
Wound Management
Milligan-Morgan: wounds left open for secondary healing. Ferguson: wounds closed with absorbable sutures. Adequate skin bridges preserved to prevent anal stenosis.
Post-operative Care
Hospital stay 1–2 days. Regular sitz baths, stool softeners, appropriate analgesia, and high-fibre diet. Full recovery in 2–3 weeks.
Outcomes
Who Needs This Treatment?
- →The most definitive treatment - highest cure rate of all haemorrhoid procedures (>98%)
- →Eliminates all grades of haemorrhoidal disease in a single procedure
- →Suitable for large external haemorrhoids and combined internal/external disease
- →Appropriate when laser or banding cannot achieve adequate control
- →Well-established, evidence-based technique with decades of validated outcomes
- →Covered by all major health insurance plans at Lux Hospitals, Hyderabad
Haemorrhoidectomy remains an excellent definitive option for severe piles. With careful technique and attentive post-operative care, the vast majority of patients achieve complete, permanent relief - and are grateful they finally had the problem resolved.
— - Dr. Samhitha Reddy, Consultant Proctologist & Laparoscopic Surgeon
Common Questions
Frequently Asked
Not sure which treatment is right for you?
Book a consultation with Dr. Samhitha Reddy and get a personalised treatment plan.