The place of Milligan-Morgan haemorrhoidectomy in the contemporary algorithm for the treatment of haemorrhoidal disease – a review of current literature

*Małgorzata Kołodziejczak¹, Przemysław Ciesielski^{1, 2}, Paweł Dutkiewicz²

Summary
Among the classic methods of hemorrhoidectomy the two most commonly used methods are open Milligan-Morgan hemorhoidectomy (MMH) and closed Ferguson hemorrhoidectomy (FH). Although the Milligan-Morgan method was described by the authors in 1937 it is still, with some modifications, a commonly used method of surgical treatment of hemorrhoids. The advantages of the method are high efficacy, ease of execution, short learning curve and minimal recurrence rate. Disadvantages are pain after surgery and a long, about six-week, healing period of the anal canal. The authors present indications for the procedure, describe the technique of the operation and the place of the MMH procedure in the algorithm of hemorrhoidal disease treatment. The authors also compare the effectiveness of the MMH and the rate of complications to those of other surgical methods such as FH by reviewing the literature of recent years. Despite the introduction of many new surgical techniques the classic open Milligan-Morgan hemorrhoidectomy stood the test of time and still has its place in the treatment of advanced and complicated hemorrhoidal disease.

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