✦ STAPLER LIFT

Stapled Haemorrhoidopexy (PPH / MIPH)

Q: Is PPH/MIPH better than haemorrhoidectomy?

For Grade III circumferential prolapsing haemorrhoids, PPH offers equivalent cure with significantly less post-operative pain and faster recovery. For large external or asymmetric Grade IV disease, haemorrhoidectomy may be more appropriate.

Q: Can haemorrhoids return after stapled haemorrhoidopexy?

PPH has slightly higher recurrence rates than haemorrhoidectomy for Grade IV disease. For appropriate Grade III cases, recurrence is low - particularly with dietary and lifestyle modification.

Q: How painful is PPH surgery?

PPH is consistently less painful than haemorrhoidectomy because the staple line is placed in the insensate rectal mucosa. Most patients need only oral analgesics for a few days.

Q: Is stapled haemorrhoidopexy covered by insurance in Hyderabad?

Yes - PPH/MIPH is covered by most major health insurance plans at Lux Hospitals, Hyderabad. Our team manages all cashless approval documentation.

A circular stapling device repositions and fixes prolapsed haemorrhoidal tissue - correcting Grade III prolapsing haemorrhoids with significantly less post-operative pain than conventional haemorrhoidectomy. Available at the best piles hospital in Hyderabad.

Grade III PRIMARY INDICATION

1 Day HOSPITAL STAY

Less Pain VS HAEMORRHOIDECTOMY

1–2 Weeks RETURN TO WORK

What is Stapled Haemorrhoidopexy (PPH / MIPH)?

Stapled Haemorrhoidopexy - also known as PPH (Procedure for Prolapse and Haemorrhoids) or MIPH (Minimally Invasive Procedure for Haemorrhoids) - uses a circular stapling device to excise a ring of mucosa above the haemorrhoidal tissue, simultaneously interrupting blood supply and repositioning prolapsed haemorrhoids back to their correct anatomical position inside the anal canal. The staple line is placed in the insensate rectal mucosa above the dentate line - accounting for significantly reduced post-operative pain compared to conventional haemorrhoidectomy. Dr. Samhitha Reddy, a leading piles specialist in Hyderabad, performs PPH/MIPH at Lux Hospitals for selected Grade III circumferentially prolapsing haemorrhoids.

Primarily indicated for Grade III circumferential prolapsing internal haemorrhoids. Dr. Samhitha evaluates each patient to determine whether PPH/MIPH, laser, or haemorrhoidectomy is optimal.

How the Procedure Works

Anaesthesia

Spinal or general anaesthesia. Patient positioned in lithotomy.

Dilator & Anoscope Insertion

A circular anal dilator is inserted and sutured to the perianal skin. The Purse-String Anoscope is introduced to the supraanal level.

Purse-String Suture

A purse-string suture is placed circumferentially 4–5 cm proximal to the dentate line - the critical step determining the adequacy of tissue excision.

Stapler Firing

The PPH-03 circular stapler is introduced, the purse string tied, and the stapler fired - excising a ring of mucosa and simultaneously stapling the edges.

Haemostasis & Discharge

Staple line inspected and any bleeding points suture-ligated. Hospital stay typically overnight. Discharge next morning with dietary and activity instructions.

Outcomes

Grade IIIPRIMARY INDICATION

1 DayHOSPITAL STAY

Less PainVS HAEMORRHOIDECTOMY

1–2 WeeksRETURN TO WORK

Who Needs This Treatment?

→Significantly less post-operative pain compared to conventional haemorrhoidectomy
→Shorter hospital stay - typically overnight vs 2 days for haemorrhoidectomy
→Faster return to work - light duties in 1–2 weeks
→Addresses circumferential prolapse in a single procedure
→Preserves normal anal cushions - less risk of mucus leakage post-surgery
→Covered by most major health insurance providers at Lux Hospitals, Hyderabad

PPH is an elegant solution for circumferential prolapsing haemorrhoids. Because the staple line is placed above the pain-sensitive zone, patients are genuinely surprised by how much more comfortable their recovery is compared to their expectations.

— - Dr. Samhitha Reddy, Consultant Proctologist & Laparoscopic Surgeon

Common Questions

Frequently Asked

Is PPH/MIPH better than haemorrhoidectomy?+

Can haemorrhoids return after stapled haemorrhoidopexy?+

How painful is PPH surgery?+

Is stapled haemorrhoidopexy covered by insurance in Hyderabad?+

Not sure which treatment is right for you?

Book a consultation with Dr. Samhitha Reddy and get a personalised treatment plan.

WhatsApp Us ← Back to Treatments