Muller C A
Helv Chir Acta. 1978 May;45(1-2):105-6.
The author describes the "closed" method of hemorrhoidectomy, as advised by J.A. Ferguson, about forty years ago. In retrospect, reviewing 237 cases operated with this method between 1963 and 1976, it appears that the closed hemorrhoidectomy induces less postoperative pain and is fraught with less postoperative complications. Hospitalization averages 5 days. The complete duration of treatment is 4 weeks with an average loss of work of 19.5 days. If our fellow-surgeons are really prepared to relinquish sectarism and to seek for "modern" techniques, they should consider closed hemorrhoidectomy as the treatment of choice for this untoward condition.