✦ STAPLED PILES SURGERY

Stapled Hemorrhoidopexy (PPH / MIPH)

Q: How is MIPH different from conventional surgery?

MIPH lifts the prolapsed haemorrhoids back into their normal position rather than removing them externally. The staple line is placed above the pain-sensitive area, so recovery is much more comfortable.

Q: Is MIPH suitable for me?

MIPH is best for grade 3 and grade 4 internal piles with prolapse. It is less suitable for purely external haemorrhoids or significant skin tags. Dr. Tejasree decides the best technique based on careful clinical examination.

Q: Will I need to stay long in the hospital?

Most patients are discharged within 24 hours. Office work resumes in 5–7 days, while heavy exercise is avoided for 2–3 weeks for complete healing.

Q: Will piles come back after MIPH?

Recurrence is uncommon after well-performed MIPH. Maintaining a high-fibre diet, adequate hydration, and avoiding straining significantly reduce the chance of recurrence over time.

Modern stapler-based technique that lifts and repositions prolapsed haemorrhoids while removing excess tissue — significantly less pain than conventional surgery and faster recovery.

30–45 min PROCEDURE

1 Day HOSPITAL STAY

>90% SUCCESS RATE

5–7 Days RETURN TO WORK

What is Stapled Hemorrhoidopexy (PPH / MIPH)?

Stapled Hemorrhoidopexy, also known as PPH (Procedure for Prolapse and Hemorrhoids) or MIPH (Minimally Invasive Procedure for Hemorrhoids), is a modern surgical technique using a circular stapler to lift prolapsed haemorrhoids back into their normal position while removing a ring of excess tissue. Because the staple line is placed above the dentate line where there is no pain sensation, recovery is significantly more comfortable than conventional hemorrhoidectomy. As a female proctologist in Hyderabad, Dr. Tejasree Vengala performs MIPH at Lux Hospitals, Hyderabad, offering quick recovery and discreet, dignified care.

Suitable for grade 3 and grade 4 internal piles, especially with significant prolapse, where lifting and repositioning offers the best functional and cosmetic outcome.

How the Procedure Works

Anaesthesia & Positioning

Surgery is performed under spinal or general anaesthesia. The patient is positioned in lithotomy position.

Circular Anal Dilator Insertion

A specialised anal dilator is inserted to clearly visualise the prolapsed haemorrhoidal tissue.

Purse-String Suture

A circular purse-string suture is placed in the rectal mucosa about 4 cm above the dentate line.

Stapler Application

A circular stapler is used to remove a ring of mucosa and submucosa, lifting the haemorrhoids back into their normal position and creating a stapled anastomosis.

Recovery & Discharge

Patients are usually discharged within 24 hours with clear post-operative advice, structured pain management, and dietary guidance.

Outcomes

30–45 minDURATION

1 DayHOSPITAL STAY

>90%SUCCESS RATE

2–3 WeeksFULL RECOVERY

Who Needs This Treatment?

→Significantly less pain than conventional hemorrhoidectomy
→Lifts and repositions prolapsed haemorrhoids effectively
→Quick recovery — return to work in 5–7 days
→No external wounds in the anal area
→Excellent option for circumferential prolapse
→Discreet, sensitive care by a female proctologist

Stapled hemorrhoidopexy is a thoughtful operation — instead of cutting away the prolapsed tissue, we lift it back where it belongs. For the right grade 3 or grade 4 piles, especially with circumferential prolapse, the recovery experience is in a different league from conventional surgery.

— — Dr. Tejasree Vengala, Consultant Proctologist & Laparoscopic Surgeon, Lux Hospitals, Hyderabad

Common Questions

Frequently Asked Questions

How is MIPH different from conventional surgery?+

Is MIPH suitable for me?+

Will I need to stay long in the hospital?+

Will piles come back after MIPH?+

Not sure which treatment is right for you?

Book a consultation with Dr. Tejasree Vengala and get a personalised treatment plan.

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