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.
Indicated for Grade III–IV haemorrhoids, large external haemorrhoids, or when minimally invasive procedures are contraindicated or have previously failed. Dr. Samhitha will discuss all options at consultation.
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, Lux Hospitals, Hyderabad
Hemorrhoidectomy Cost in Hyderabad
The cost of hemorrhoidectomy in Hyderabad depends on the grade of piles, severity of symptoms, surgical technique used, investigations required, and the care needed before and after surgery.
For advanced piles conditions such as Grade III and Grade IV hemorrhoids, where surgical removal may be required, the approximate cost of hemorrhoidectomy ranges between ₹35,000 and ₹70,000.
| Procedure | Approximate Cost Range |
|---|---|
| Hemorrhoidectomy (Milligan-Morgan / Ferguson) Grade III-IV | ₹35,000 – ₹70,000 |
The final cost may vary depending on your individual condition, the number and size of hemorrhoids, surgical approach, and whether any additional procedures or hospital care are required.
Factors That Influence Hemorrhoidectomy Cost
The overall cost may depend on:
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Grade and severity of piles: The stage of hemorrhoids, size of piles, symptoms, and extent of tissue involved can influence the complexity of surgery.
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Pre-operative evaluation: Required consultations, blood tests, scans, and medical assessments before surgery may affect the overall cost.
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Surgical technique used: The cost may vary depending on the technique performed, such as Milligan-Morgan or Ferguson hemorrhoidectomy, based on the patient’s condition.
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Additional procedures: If treatment for associated conditions such as anal fissure, skin tags, or other anorectal problems is required during surgery, the cost may vary.
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Hospital stay and post-operative care: The duration of admission, medicines, follow-up consultations, and recovery support may influence the final estimate.
Is Hemorrhoidectomy Covered by Insurance?
Hemorrhoidectomy may be covered by health insurance when it is performed for a medically necessary condition. Coverage depends on your insurance policy, inclusions, waiting periods, and approval process.
Our insurance support team can assist you with checking your policy coverage, required documentation, cashless approval process, and insurance-related queries before the procedure.
- Checking your policy coverage
- Cashless approval process
- Required documentation
- Insurance-related queries before the procedure
Dr. Samhitha Reddy
Consultant Proctologist & Laparoscopic Surgeon
During consultation, Dr. Samhitha Reddy, Proctologist and Colorectal Surgeon in Hyderabad, will evaluate your symptoms, piles grade, medical history, and examination findings to determine whether hemorrhoidectomy is suitable for you. She will explain the procedure, expected recovery, and guide you regarding the estimated cost based on your individual condition and treatment requirements.
Common Questions
Frequently Asked Questions
Not sure which treatment is right for you?
Book a consultation with Dr. Samhitha Reddy and get a personalised treatment plan.