In the past, open surgery was the only option available to surgeons when they needed to inside a patient's body or remove or repair organ. But today minimally invasive technology is completely changing the way doctors approach patients care. A new procedure for removing large haemorrhoids, the stapler haemorrhoidectomy, is less painful and allows patients to return to work and other normal activities much earlier than with the conventional procedure. Stapled Piles surgery is also known as PPH (Procedure for Prolapse & haemorrhoids). The PPH procedure was first introduced in Italy in 1997 and in the last few years has become very popular all over the world.

Technique

The technique uses a stapling device and takes advantage of the fact that pain-sensing nerve Fibers are absent higher in the anal canal. In this procedure the mucosa above the dentate line which contains part of Piles mass, is excised & stapled with the stapler gun, thus taking care of bleeding and prolapse- the two major components of Piles. The Piles masses are composed into a cup like cavity inside the stapler. When fired, the titanium staples cut & seal simultaneously, thus causing minimal bleeding and as the cutline is above the nerves, there is reduction in the Post-operation pain also. Additionally there is no incision the perianal skin and wound in the anal mucosa is also primarily closed with stapler.

Benefits:

• LessPain. Less discomfort
• Minimal Scaring
• Greater Surgical Precision
• Fewer complications
• Less Blood Loss
• Reduced risk of infection
• Faster recovery

Care to be taken after MIPH

• While no strategy completely removes the risk of haemorrhoids occurring again, following these suggesting can lower the risk.
• Avoid straing at stools
• Avoid constipation
• Drink enough liquids / (Water) for proper hydration
• Eat fibre rich diet (Green-leafy Vegetables)
• Exercise regularly