– Haemorrhoidal arterial ligation : Mainly indicated for grade III haemorrhoids and sometimes in cases of very symptomatic grade II haemorrhoids. By this minmally invasive technique we can treat the haemorrhoid by pexy (suture of the haemorrhoidal vessel) as well as the prolapse if a mucopexy is associated. A doppler probe is used to help us locate the blood vessels. We can treat the disease in this manner without the need for a conventional haemorrhoidectomy, allowing for an ambulatory procedure and diminishing postoperative pain.
– Conventional haemorrhoidectomy ( Milligan Morgan- Ferguson)