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April 10, 20260 citationsOpen Access

Mucocutaneous Bridge Preservation During Milligan-Morgan Hemorrhoidectomy

Mucocutaneous Bridge Preservation During Three-Pedicle Milligan-Morgan Hemorrhoidectomy for Acutely Thrombosed Mixed Hemorrhoids: A Surgical Case Report

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Authors

AHAbdelilah HamadaABAchraf BahiBMB. Moujahid

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Overview

Case report demonstrates the preservation of mucocutaneous bridges in hemorrhoidectomy, indicating improved postoperative outcomes.

Key Points

  • To emphasize the importance of preserving mucocutaneous bridges during hemorrhoidectomy for thrombosed mixed hemorrhoids.
  • Operative exploration of the anal verge and canal for mixed hemorrhoids.
  • Three-pedicle Milligan-Morgan hemorrhoidectomy performed under regional anesthesia.
  • Limited interpedicular mini-excisions with suture-assisted clot extraction incorporated.
  • Mucocutaneous bridges preserved, minimizing risk of postoperative anal stenosis.
  • Targeted interpedicular clot evacuation achieved without altering circumferential excision pattern.
  • Successful management of thrombosed piles while maintaining vital anoderm integrity.

Cite This Study

Hamada et al. (2026) studied this question.

synapsesocial.com/papers/69d895d86c1944d70ce06fc5https://doi.org/10.5281/zenodo.19473052
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