Q What is done in
Conventional/Traditional Surgery or Open method?
In Open method (Milligan-Morgan Technique), the bunch of dilated veins
(piles) in the lower part of anal canal are dissected and then tied off. In order to avoid stenosis, three
pear-shaped incisions are left open, separated by bridges of skin and mucosa. The dissection results in
to a wound in the lower anal canal, which takes time to heal. Since the lower
part of anal canal is highly sensitive to pain, the patient experiences
agonizing pain for 4-5 post operative days. Therefore the patient is kept
admitted in the hospital for 3-5 days. Normally the patient resumes work after
2-3 weeks when the wound is at least partially healed. The patient also needs
to do hot water baths( Sitz bath) 2-4 times a day till the wound heals
completely which usually takes 4-6 weeks.