A male 47-year-old present with complain of unable to sleep, seat, walk, defecate due to anal stenosis and bleeding PR. Patient was operated for standard Milligan Morgan and Lord dilatation for piles procedure before 20 days. There are lots of paperwork done for this complication and recurrence, but no standard techniques are establish. 18-25 % recurrence rates?
are establish in Milligan Morgan and MIPH. We can avoid this immediate morbidity with innovative techniques chivate's procedure for piles, though it is not proved in a world of evidence-based medicines, long-term recurrence is not there but not proved. Do We Require To Change Or Rethink On Standard Milligan And MIPH Procedure For Piles MX?