The Milligan-Morgan technique for haemorrhoidectomy differs from the Ferguson (closed) haemorrhoidectomy primarily in that:

• A It ligates the haemorrhoidal pedicle at a higher level
• B The wound is left open rather than primarily closed ✓
• C It uses a circular stapling device for excision
• D It is performed under local anaesthesia as a day procedure only

Explanation

The Milligan-Morgan (open) technique excises the three primary haemorrhoidal complexes (left lateral, right anterior, right posterior) leaving the wounds open to heal by secondary intention, with skin bridges preserved. The Ferguson technique is identical in excision but closes the wounds primarily with absorbable sutures. Both are acceptable for grade III-IV haemorrhoids; the open technique avoids wound infection risks but takes longer to heal. The stapled haemorrhoidopexy (Longo procedure) is a separate technique using a circular stapler.

Reference: Bailey & Love's Short Practice of Surgery, 27th ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

Written and medically reviewed by the StethoPrep medical team.