Objective: The aim of this study was to determine the efficacy and safety of Ferguson's technique. Methods: This was prospective study. A total of 65 consecutive patients with grade III and IV hemorrhoids underwent Ferguson hemorrhoidectomy from December 2012 to March 2014 at Can Tho University medicine and pharmacy hospital. Results: There were 57 percent males and 43 percent females. The mean age 41.6 + or - 14.5 years. Forty-three patients (66,2 percent) had third degree and twenty-two (38,8 percent) patients had fourth degree hemorrhoids. The mean time of procedure was 43,0 + or - 14,8 (15-90) minutes. Postoperatively, 78,5 ,percent of patients had minor and mild post-operative .pain; two patients had a relevant hemorrhage (1,8 percent), and one had to undergo reoperation (reoperation rate, 0.9 percent); 10,8 percent of patients needed bladder catheterization because of acute urinary retention; The average duration of hospital stay was 1,18 + or - 0,49 (range, 1 - 4) days. Mortality and wound infection was 0 percent. 27,7 percent of the patient had suture dehiscence. Wound healing is 6 to 8 weeks for suture dehiscence and 4 to 6 weeks for no suture dehiscence. The return to work or normal activity was 9,44 + or - 3,33 days. The 6 month follow-up, none of the patients had recurrent hemorrhoids or anal stenosis. Conclusion: Ferguson procedure represents a good choice for radical treatment of III and IV hemorrhoids grade because it is easy to perform, has few complication and provides satisfying results.
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