What is Stapled Haemorrhoidopexy?

Stapled Haemorrhoidopexy — also called MIPH (Minimally Invasive Procedure for Haemorrhoids) or PPH (Procedure for Prolapse and Haemorrhoids) — is a modern surgical technique for Grade 3 and 4 haemorrhoids. Using a circular stapling device inserted through the anus, a ring of prolapsed haemorrhoidal tissue is removed and the remaining tissue is stapled back into its anatomically correct position inside the anal canal.

Advantages Over Conventional Haemorrhoidectomy

• No external wound — the entire procedure is inside the anal canal, above the pain-sensitive area
• Significantly less pain — most patients need only mild analgesics for 1–2 days
• Day-care procedure — discharged same day or next morning
• Rapid recovery — return to work in 2–3 days (vs 2–3 weeks for conventional surgery)
• Shorter operation time — typically 20–30 minutes

Which Grades of Haemorrhoids are Suitable?

• Grade 3 — prolapse requiring manual reduction; ideal candidate for MIPH
• Grade 4 — permanently prolapsed; can be treated with MIPH or conventional haemorrhoidectomy depending on size
• Grade 1 & 2 — do not usually need surgery; managed with dietary changes and rubber band ligation