Haemorrhoidectomy (Milligan-Morgan technique)

Haemorrhoids are veins that are normally present in the anal canal. They become a problem when they enlarge, bleed, come out of the anus (prolapse) or become thrombosed. Haemorrhoidectomy means surgically removing the diseased haemorrhoidal cushions. The Milligan-Morgan technique is the most widely used and best studied. Under anaesthesia, the surgeon usually removes the three main haemorrhoidal cushions, leaving bridges of healthy skin and lining between them, which are essential for good healing. The wounds are usually left open and heal gradually over a few weeks. This operation is offered when medical treatment (a high-fibre diet, gentle laxatives, venotonic medication) and outpatient procedures (rubber band ligation, photocoagulation) are no longer enough, or straight away for very large haemorrhoids. It is the technique with the lowest risk of recurrence. At Clinique Pasteur Tunis, haemorrhoidectomy is performed in the operating theatre, with particular attention to pain relief after surgery and clear advice on wound care and bowel habits at home.