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Q What is done in MIPH-Minimally Invasive Procedure for Haemorrhoids or Stapler technique?

MIPH is a technique developed in the early 90's that reduces the prolapse of hemorrhoidal tissue by excising a band of the prolapsed anal mucosa membrane with the use of a circular stapling device In this technique, the pile mass is not directly operated or dissected. Instead the operation is done in the upper anal canal which is insensitive to pain. A disposable Stapler device is used which cuts the lining of the anal canal and sutures it back instantaneously. In the process, the blood supply to the pile mass is obliterated and this results in shriveling and hence disappearance of piles. Moreover  the excess tissue is removed which corrects the mucosal prolapse and restores the hemorrhoidal tissue back to its original anatomical position.


Since this operation doesn’t create any wound, the patient needs no post operative  dressings and hot water baths( Sitz bath).  As the lower sensitive anal canal is not cut during this procedure,  the patient is absolutely pain free right after the operation and therefore can resume work the  very next day . Moreover the time taken for operation( 15-20 minutes) and the  blood loss in Stapler technique is comparatively much less.


To summarise the main benefits of stapler technique over the conventional surgery:


Conventional(Open) Surgery

Stapler Technique

1.Post operative pain

Lot of pain  for 5-6 days

Minimal or no pain

2.Hospital stay (average)

5-6 days

1 day

3. Days to go back to work

12-15 days

1-2 days

4. Post operative dressings and hot water baths(Sitz baths)

For 30-45 days

Not needed

5. Operating time    (average)

30-60 minutes

15-25 minutes


Before Treatment

After treatment with Stapler





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Dr Pankaj