✦ HAEMORRHOIDS · MINIMALLY INVASIVE

Minimally Invasive Procedure for Haemorrhoids (MIPH)

Q: Is MIPH suitable for all grades of haemorrhoids?

MIPH is most effective for Grade III and IV internal haemorrhoids. Grade I–II haemorrhoids are better managed with office procedures.

Q: How does MIPH differ from laser haemorrhoid treatment?

MIPH uses a stapling device to excise redundant mucosa and reposition haemorrhoids. Laser haemorrhoidoplasty ablates haemorrhoidal tissue in situ.

Q: Can haemorrhoids recur after MIPH?

Recurrence rates are approximately 5–10% at 5 years. Dietary changes including high fibre and hydration significantly reduce recurrence risk.

Stapled haemorrhoidopexy repositioning prolapsed haemorrhoids above the dentate line — significantly less pain.

20–30 Min TREATMENT DURATION

Day Care CARE SETTING

Stapler-Based APPROACH

2–3 Days RECOVERY TIMELINE

What is Minimally Invasive Procedure for Haemorrhoids (MIPH)?

MIPH (Minimally Invasive Procedure for Haemorrhoids), also called Stapled Haemorrhoidopexy or PPH, uses a circular stapling device to excise redundant rectal mucosa above the haemorrhoidal cushions — simultaneously repositioning prolapsed haemorrhoids and interrupting their blood supply. Dr. Tagore Mohan Grandhi performs MIPH as a day surgery procedure. By operating above the dentate line, in an area with minimal pain receptors, MIPH provides significantly less post-operative pain than conventional haemorrhoidectomy, with return to normal activity in 2–3 days.

Suitable for patients with Grade III or IV internal haemorrhoids with significant prolapse who have not responded to conservative measures or office procedures.

How the Procedure Works

Anaesthesia

Short general or spinal anaesthesia. Circular anal dilator inserted and secured for access.

Purse-String Suture

Suture placed in rectal mucosa above the haemorrhoidal cushions using a purse-string anoscope.

Stapler Deployment

Circular stapler introduced. Purse-string tightened and fired — excising ring of tissue and creating anastomosis simultaneously.

Haemostasis Check

Staple line inspected. Additional sutures or clips placed at any bleeding points identified.

Post-procedure Care

Same-day discharge. Oral analgesia prescribed. High-fibre diet commenced. Review at 6 weeks.

Outcomes

20–30 MinTREATMENT DURATION

Day CareCARE SETTING

Stapler-BasedAPPROACH

2–3 DaysRECOVERY TIMELINE

Who Needs This Treatment?

→Significantly less post-operative pain than conventional haemorrhoidectomy
→Same-day discharge — day surgery procedure
→Return to normal activities in 2–3 days versus 1–2 weeks open surgery
→No open wound — reduced infection and healing complications

MIPH has transformed haemorrhoid surgery. Patients experience a fraction of conventional surgery pain and return to routine within days, not weeks. It is our preferred approach for Grade III and IV haemorrhoids.

— Dr. Tagore Mohan Grandhi, Senior Consultant Gastrointestinal Surgeon, Lux Hospitals, Hyderabad

Common Questions

Frequently Asked Questions

Is MIPH suitable for all grades of haemorrhoids?+

How does MIPH differ from laser haemorrhoid treatment?+

Can haemorrhoids recur after MIPH?+

Not sure which treatment is right for you?

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