Hemorrhoidectomy according to Milligan-Morgan: ligature and excision technique.
The author notes of the fundamental principles and particularly the techniques of hemorrhoidectomy according to Milligan-Morgan, adopted with full satisfaction in more than 1,000 cases of third and fourth degree hemorrhoids. Correct indication and a precise, accurate technique based upon the high ligature of the vascular peduncle and on the preservation of the muco-skin bridges, are the essential conditions for the radicality of the intervention in 97% of the cases and for a minimum incidence of morbility. The modifications by Arnous based upon a posterior sphincterectomy with anoplasty in those cases with sphincteric hypertone, and upon the revision of the muco-skin bridges make this technique feasible even in the most complicated cases.
Tajana
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Istituto di Chirurgia Generale e Oncologia Chirurgica, Università di Milano, Italy.
D006484:Hemorrhoids / Q000601:surgery*; D006801:Humans; D008026:Ligation / Q000379:methods*; D008722:Methods; D011182:Postoperative Care; D011183:Postoperative Complications / Q000517:prevention & control