Minimally Invasive Procedure for Haemorrhoids (MIPH)
Stapled haemorrhoidopexy repositioning prolapsed haemorrhoids above the dentate line — significantly less pain.
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
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
Minimally Invasive Procedure for Haemorrhoids (MIPH) Cost in Hyderabad
The cost of minimally invasive procedure for haemorrhoids (miph) in Hyderabad depends on the complexity of the condition, the technology and implants used, and the care needed before and after the procedure. Your treating doctor will share a personalised estimate after your consultation.
| Procedure | Approximate Cost Range |
|---|---|
| Minimally Invasive Procedure for Haemorrhoids (MIPH) | Shared after consultation |
The final cost may vary depending on your individual condition, findings during the procedure, and whether any additional procedures are required.
Factors That Influence Minimally Invasive Procedure for Haemorrhoids (MIPH) Cost
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Complexity and severity of the condition being treated
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Type of anaesthesia and surgical technique used
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Pre-operative investigations and evaluations required
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Duration of hospital stay and post-operative care needed
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Any additional procedures performed during the same surgery
Is Minimally Invasive Procedure for Haemorrhoids (MIPH) Covered by Insurance?
Minimally Invasive Procedure for Haemorrhoids (MIPH) may be covered by health insurance when it is performed for a medically necessary condition. Coverage depends on your insurance policy, inclusions, and the approval process.
- Checking your policy coverage
- Cashless approval process
- Required documentation
- Insurance-related queries before the procedure
Dr. Tagore Grandhi
Orthopaedic & Joint Replacement Surgeon
During consultation, Dr. Tagore Grandhi will evaluate your symptoms, medical history, and investigation reports to determine whether Minimally Invasive Procedure for Haemorrhoids (MIPH) is right for you, and will guide you on the expected outcomes and estimated cost based on your individual condition.
Common Questions
Frequently Asked Questions
Not sure which treatment is right for you?
Book a consultation with Dr. Tagore Grandhi and get a personalised treatment plan.