This procedure treats both external and internai hemorrhoids.
II) Disadvantages :
These disadvantages are associated with open procedure :
3 incisions are left open leading to considerable oozing thus often a longer healing time,
This procedure requires rigorous topical tare,
Risk of bleeding when scabs fall off,
We leave in place 3 ligated pedicles leading to oozing causing painful inflammation,
The pedicles will necrose and attach themselves to the walls of the anal causing the rectal mucous membrane to retract with a significant risk of stenosis espacially if the pedicle ligature has been made too high in the rectal mucous membrane,
Extensive intraductal cuts exist despite the presence of persistent mucocutaneeous bridges,
This procedure has the disadvantage of not treating mucosal prolapse in the lower rectum and neglecting a previous rectocele, which cannot be fully treated during the same surgical procedure.