Hemorrhoidectomy (Milligan-Morgan / Ferguson)
Conventional surgical removal of haemorrhoids — the most definitive treatment for advanced grade 3 and grade 4 piles, with the highest long-term success rate.
What is Hemorrhoidectomy (Milligan-Morgan / Ferguson)?
Hemorrhoidectomy is the conventional surgical removal of haemorrhoids and remains the most definitive treatment for advanced grade 3, grade 4, and large mixed haemorrhoids. Two main techniques are used — Milligan-Morgan (open hemorrhoidectomy) and Ferguson (closed hemorrhoidectomy) — depending on the size, location, and type of haemorrhoids. Although recovery is slightly longer than minimally invasive options, hemorrhoidectomy offers the highest long-term success rate and lowest recurrence. As a female proctologist in Hyderabad, Dr. Tejasree Vengala performs hemorrhoidectomy at Lux Hospitals, Hyderabad, with attention to careful technique and structured pain management.
How the Procedure Works
Anaesthesia & Positioning
Surgery is performed under spinal or general anaesthesia. The patient is positioned in lithotomy or prone jackknife position.
Hemorrhoidal Vessel Ligation
Each haemorrhoidal pedicle is carefully identified and ligated with absorbable sutures.
Excision of Haemorrhoids
The haemorrhoidal tissue is excised in an elliptical pattern, taking care to preserve the anal sphincter and adequate skin bridges.
Wound Management
In Milligan-Morgan technique, wounds are left open to heal naturally; in Ferguson technique, wounds are closed with absorbable sutures.
Recovery & Discharge
Patients are discharged in 1–2 days with structured pain management, sitz baths, dietary advice, and clear follow-up plan.
Outcomes
Who Needs This Treatment?
- →
Most definitive treatment for advanced piles
- →
Highest long-term success rate of all options
- →
Effective for large, complicated, or recurrent piles
- →
Suitable for mixed internal-external haemorrhoids
- →
Time-tested, reliable surgical technique
- →
Discreet, sensitive care by a female proctologist
Conventional hemorrhoidectomy is still the gold standard for grade 4 piles — and for the right patient, choosing this operation is choosing the most lasting cure. Modern pain control and good wound care have made the recovery far more comfortable than its old reputation suggests.
— — Dr. Tejasree Vengala, Consultant Proctologist & Laparoscopic Surgeon, Lux Hospitals, Hyderabad
Hemorrhoidectomy Cost in Hyderabad
The cost of hemorrhoidectomy in Hyderabad depends on the grade and severity of piles, the number and size of haemorrhoids, complexity of the procedure, investigations required, and the care needed before and after surgery.
For patients requiring surgical removal of haemorrhoids using the Milligan-Morgan or Ferguson technique, the approximate cost of haemorrhoidectomy ranges between ₹35,000 and ₹75,000.
| Procedure | Approximate Cost Range |
|---|---|
| Hemorrhoidectomy (Milligan-Morgan / Ferguson) | ₹35,000 – ₹75,000 |
The final cost may vary depending on your individual condition, findings during evaluation, surgical technique used, and whether any additional procedures are required.
Factors That Influence Hemorrhoidectomy Cost
The overall cost may depend on:
- →
Grade and severity of piles: The size, number, location, and extent of hemorrhoids may influence treatment planning and surgical complexity.
- →
Pre-operative evaluation: Required clinical examination, investigations, blood tests, and medical assessments before surgery may affect the overall cost.
- →
Additional procedures: If procedures such as anal fissure treatment, fistula treatment, or other proctology interventions are required along with hemorrhoidectomy, the cost may vary.
- →
Hospital stay and post-operative care: The duration of admission, medicines, wound care, dietary guidance, and follow-up requirements may influence the final estimate.
Is Hemorrhoidectomy Covered by Insurance?
Hemorrhoidectomy may be covered by health insurance when it is performed for a medically necessary condition. Coverage depends on your insurance policy, inclusions, and approval process.
Our insurance support team can assist you with checking your policy coverage, required documentation, cashless approval process, and insurance-related queries before the procedure.
- Checking your policy coverage
- Cashless approval process
- Required documentation
- Insurance-related queries before the procedure
Dr. Tejasree Vengala
Consultant Proctologist & Laparoscopic Surgeon
During consultation, Dr. Tejashree Vengala, General & Laparoscopic Surgeon in Hyderabad, will evaluate your symptoms, medical history, and examination findings to determine whether hemorrhoidectomy is suitable for you. She will explain the procedure, expected outcomes, and guide you regarding the estimated cost based on your individual condition and treatment requirements.
07969084424 07969084424Common Questions
Frequently Asked Questions
Not sure which treatment is right for you?
Book a consultation with Dr. Tejasree Vengala and get a personalised treatment plan.